A nurse is educating a client with pulmonary embolism about the importance of early recognition of symptoms. Which symptom should the client be advised to report immediately?
Mild shortness of breath during activities
Chest pain that worsens with deep breathing
Mild swelling in the ankles
Occasional cough with clear sputum
The Correct Answer is B
A) Incorrect. Mild shortness of breath during activities may not be unusual, but sudden or severe shortness of breath should be reported.
B) Correct. Chest pain that worsens with deep breathing or coughing may indicate a worsening of the pulmonary embolism and should be reported immediately.
C) Incorrect. Mild swelling in the ankles is not typically a sign of a pulmonary embolism. However, severe leg swelling or pain should be evaluated.
D) Incorrect. An occasional cough with clear sputum is not necessarily a sign of a pulmonary embolism. However, if the cough becomes severe or is associated with other symptoms, it should be reported.
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Related Questions
Correct Answer is C
Explanation
A) Incorrect. Pulmonary embolism does not directly affect the bronchial tubes or cause airway constriction.
B) Incorrect. While inflammation can occur as a response to pulmonary embolism, its primary impact is on blood flow, not the alveoli.
C) Correct. The main effect of pulmonary embolism is the disruption of blood flow to lung tissue, reducing oxygen supply.
D) Incorrect. Excessive mucus production is not a characteristic effect of pulmonary embolism.
Correct Answer is D
Explanation
A) Incorrect. Hemoptysis refers to coughing up blood, which is not described in the client's symptoms.
B) Incorrect. Orthopnea is the inability to breathe comfortably when lying flat and is not the best description of the client's symptoms.
C) Incorrect. Syncope refers to fainting or loss of consciousness, which is not the primary symptom described.
D) Correct. Dyspnea, or difficulty breathing, along with lightheadedness and rapid heart rate, is a common presentation of pulmonary embolism.
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