The nurse is educating a client about the treatment options for a pulmonary embolism. Which of the following statements would require further teaching?

“I will be discharged on Warfarin so that a clot will not develop in the future."

"A Heparin infusion is going to keep the blood clot from getting bigger."

"The purpose of the Inferior Vena Cava (IVC) Filter is to prevent the development of DVTs."

"An embolectomy is a procedure to physically remove a blood clot."

Answer and Explanation

The Correct Answer is C

A. Warfarin is commonly prescribed for long-term anticoagulation to prevent future clot formation. This statement is correct and does not require further teaching.
B. A Heparin infusion does not dissolve existing clots but prevents them from enlarging and new clots from forming, making this statement accurate.
C. The purpose of the Inferior Vena Cava (IVC) filter is to trap emboli from deep vein thrombosis (DVT) before they reach the lungs, not to prevent DVT formation. This statement is incorrect and requires further teaching.
D. An embolectomy is a surgical procedure to remove a pulmonary embolism, making this statement correct.

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Correct Answer is ["C","D","E"]

Explanation

A. Assessing level of consciousness is a nursing responsibility and cannot be delegated to the UAP.
B. Auscultating breath sounds requires clinical judgment and must be performed by a nurse.
C. Encouraging deep breathing exercises is within the scope of a UAP and can help improve gas exchange.
D. Recording a pulse oximeter reading is a task that can be delegated to a UAP, though interpretation remains the nurse’s responsibility.
E. Keeping the head of the bed elevated helps improve oxygenation and can be done by the UAP.

A. Massage the calves every shift. B. Apply elastic compression stockings. C. Perform passive range of motion exercises. D. Assess legs for redness. E. Place pillows under the client's knees when in bed.

Correct Answer is ["B","C","D"]

Explanation

A. Massaging the calves is incorrect. This action can dislodge a deep vein thrombus (DVT), increasing the risk of a pulmonary embolism.
B. Applying elastic compression stockings is correct. These help promote venous return, reducing the risk of blood stasis and clot formation.
C. Performing passive range of motion exercises is correct. These exercises prevent venous stasis, which is a major risk factor for DVT and PE.
D. Assessing legs for redness is correct. Redness, swelling, and warmth can indicate DVT formation, allowing for early intervention before it leads to PE.
E. Placing pillows under the client's knees is incorrect. This can impair circulation and increase the risk of clot formation by promoting venous stasis.

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The nurse is educating a client about the treatment options for a pulmonary embolism. Which of the following statements would require further teaching?

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Naxlex Comprehensive Predictor Exams

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