The nurse is providing care to a client with a suspected pulmonary embolism. Which of the following is not a manifestation of a pulmonary embolism?
Hemoptysis
Petechiae
Tachycardia
Facial weakness
The Correct Answer is D
A. Hemoptysis (coughing up blood) is a known symptom of a pulmonary embolism (PE). It results from lung tissue damage due to obstructed blood flow.
B. Petechiae are not typically associated with a PE. They are more commonly linked to conditions such as thrombocytopenia or fat embolism syndrome.
C. Tachycardia is a common manifestation of a PE. The heart rate increases as a compensatory mechanism due to decreased oxygenation.
D. Facial weakness is not a typical sign of PE. It is more commonly associated with conditions like stroke or Bell's palsy.
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Related Questions
Correct Answer is C
Explanation
A. Morphine may be given to relieve pain and anxiety but is not the first priority. Oxygenation must be addressed first.
B. Initiating cardiac monitoring is important but does not take priority over oxygen therapy. Hypoxia from a PE can cause life-threatening complications.
C. Administering oxygen therapy is correct. A PE impairs oxygenation, leading to hypoxia. Immediate oxygen administration helps improve oxygen delivery to vital organs.
D. Starting an IV infusion is necessary to maintain hemodynamic stability but is not the priority over oxygenation.
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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