Pearson - PE - Module

"This is a nuclear medicine procedure that uses radioisotopes to visualize an embolism."

A patient with a pulmonary embolism (PE) is scheduled to have a lung scan (V-Q scan). Which statement should the nurse include when teaching the patient about this procedure? ANSWER "This procedure involves injection of IV contrast to visualize the embolism." "This is a nuclear medicine procedure that uses radioisotopes to visualize an embolism." "This is the primary diagnostic test for pulmonary embolism." "This is a blood test that scans the blood for an embolism."

Low molecular weight heparin

A woman at 30 weeks of gestation has been diagnosed with a pulmonary embolism (PE). Which treatment should the nurse expect the healthcare provider to order? Thrombolytic therapy Warfarin Low molecular weight heparin Vena cava filter placement

To reduce mortality associated with PE

Fibrinolytic therapy has been initiated for a patient diagnosed with a massive pulmonary embolism (PE) and hypotension. Which objective should the nurse question as a reason to initiate fibrinolytic therapy? To reduce the incidence of pulmonary hypertension To disintegrate the embolus To restore pulmonary blood flow To reduce mortality associated with PE

Nonspecific T-wave changes

The nurse is reviewing a recent electrocardiogram (ECG) of a patient who is diagnosed with a pulmonary embolism (PE). Which finding is consistent with a PE? Premature ventricular contractions Bradycardia Nonspecific T-wave changes Atrial fibrillation

Severe hypertension

The nurse is reviewing the medical history of a patient who will be starting fibrinolytic therapy. Which finding should concern the nurse? Diabetes mellitus type II Severe hypertension Chronic obstructive pulmonary disease (COPD) Hypoxia

Jugular vein distention

The nurse assessed a patient diagnosed with a pulmonary embolism. Which finding should concern the nurse? Jugular vein distention The patient reports that pain is a 2 out of 10 The patient is able to cough and breathe deeply effectively Skin color, temperature, and moisture are within normal limits

History of intracranial bleeding

The nurse is anticipating that the healthcare provider will order fibrinolytic therapy for a patient. Which assessment finding is a contraindication of this therapy? History of intracranial bleeding Blood pressure of 140/84 mmHg History of chronic obstructive pulmonary disease (COPD) Blood sugar of 200 mg/dL

"I have a bruise on my arm, and I don't remember banging it on anything."

The nurse is assessing a patient who has been taking an anticoagulant. Which patient statement requires a follow-up by the nurse? "I have a bruise on my arm, and I don't remember banging it on anything." "If I notice bleeding, I should call my healthcare provider." "I have stopped taking aspirin." "I use a soft-bristled toothbrush."

Sudden reduction of oxygen saturation

The nurse is assessing a patient who is recovering from a pulmonary embolism. Which finding should the nurse know is most concerning? Sudden reduction of oxygen saturation Drowsiness Sudden decrease in heart rate Sudden decrease in respiratory rate

Cough

The nurse is assessing a patient who is suspected of having a pulmonary embolism (PE). Which is the most common manifestation of a PE that the nurse should prepare to assess? Cough Cyanosis Syncope Hemoptysis

Cough

The nurse is assessing a patient with a history of venous thrombosis. Which clinical manifestation, if observed, indicates a possible pulmonary embolism? Hypotension Pain and edema in a lower extremity Cough Chills

D-dimer

The nurse is caring for a 9-year-old patient with a suspected pulmonary embolism (PE). Which test, if prescribed, should the nurse question? D-dimer Computerized tomography (CT) pulmonary angiography Ventilation-perfusion (V-Q) scan Pulmonary magnetic resonance angiography (MRA)

Fat embolism

The nurse is caring for a patient who has a fractured femur and suddenly reports dyspnea, chest pain, cough, anxiety, and petechiae on the chest. Which condition should the nurse suspect? Deep vein thrombosis (DVT) Stroke Fat embolism Myocardial infarction (MI)

The first 2 hours

The nurse is caring for a patient who is diagnosed with a pulmonary embolism (PE). Which time period is the most crucial for treatment? The first 24 hours The first 8 hours The first 2 hours The first 30 minutes

The scan uses radioisotopes to help diagnose the embolism.

The nurse is caring for a patient with a pulmonary embolism (PE) who is scheduled to have a ventilation-perfusion (V-Q) scan. Which statement is true? A decreased D-dimer is required for a lung scan. A scan utilizes contrast dye to visualize the embolism. The scan uses radioisotopes to help diagnose the embolism. Computerized tomography (CT) scans are contraindicated with PE.

Productive cough

The nurse is completing a physical assessment on a patient diagnosed with a pulmonary embolism (PE). Which manifestation should the nurse expect to find on assessment? Productive cough Ruddy skin color Bradypnea Bradycardia

Strict bedrest after hip replacement

The nurse is discussing interventions to prevent the development of a pulmonary embolism (PE). Which intervention should the nurse question? External pneumatic compression of the legs Active leg exercises Strict bedrest after hip replacement Early ambulation after surgery

"The dead space created by the PE increases the patient's risk for atelectasis."

The nurse is discussing the condition of a patient diagnosed with pulmonary embolism (PE) with a colleague. Which statement by the colleague indicates an understanding of the patient's risk for atelectasis? "The dead space created by the PE increases the patient's risk for atelectasis." "This patient is not currently at risk for developing atelectasis." "The shunting caused by the PE increases the patient's risk for atelectasis." "This patient is only at risk for atelectasis if pulmonary hypertension occurs."

Explaining all the procedures and therapies ordered

The nurse is planning care for a patient who is scheduled to have a vena cava filter placed. Which independent nursing intervention should the nurse implement to decrease the patient's feelings of anxiety? Placing the patient away from the nurses' station to provide privacy Discouraging visitors to maintain a therapeutic environment Administering antianxiety medications as ordered Explaining all the procedures and therapies ordered

Placing the patient's lower extremities in the dependent position

The nurse is planning care for a patient with a pulmonary embolism (PE) who requires supplemental oxygen. Which independent nursing intervention should the nurse implement? Placing the patient in the supine position Encouraging frequent range of motion (ROM) activities Placing the patient's lower extremities in the dependent position Elevating the patient's lower extremities

"I will perform range of motion exercises hourly while sitting at my desk."

The nurse is teaching a group of patients who have sedentary jobs how to prevent deep vein thrombosis (DVT) and pulmonary embolism (PE). Which patient statement indicates that the teaching has been effective? "I will perform range of motion exercises hourly while sitting at my desk." "I will use pneumatic compression devices on my legs while working." "If I only work 2 days a week, I don't have to worry about a deep vein thrombosis." "I will stand up and stretch at least once every 8 hours."

"I will stop smoking."

The nurse is teaching a patient about modifiable methods for prevention of a pulmonary embolism (PE). Which patient statement indicates that the teaching is effective? ANSWER "I will find a job that doesn't require me to sit so much." "I will change my family history of thrombosis." "I will work out daily." "I will stop smoking."

Expressed breast milk should be discarded for 48 hours.

The nurse is teaching a patient with a 3-day-old newborn about a perfusion lung scan. Which information should the nurse include? If the patient is allergic to shellfish, the test will not be performed. Expressed breast milk should be discarded for 48 hours. The test will show pulmonary infiltration and possible pleural effusion. There are no restrictions to this test.

Chest pain

The nurse is teaching the parents of a child about symptoms of a pulmonary embolism (PE) to report to the healthcare provider. Which symptom should the nurse include? Chest pain Bradycardia Hemoptysis Wheezing

Anxiety

The nurse suspects a pulmonary embolism (PE) in a patient who reports a sudden cough and states, "I just can't seem to catch my breath." Which additional symptom should the nurse recognize as a manifestation of PE? Anxiety A widening QRS complex on an electrocardiogram (ECG) Bradycardia Flattened neck veins

A 72-year-old man with heart failure who is wheelchair-bound

Which patient should the nurse identify as being at the greatest risk of developing a pulmonary embolism (PE)? A 63-year-old woman with early onset Alzheimer disease An 87-year-old man who quit smoking a pack a day 20 years ago An 83-year-old woman who had 12 children A 72-year-old man with heart failure who is wheelchair-bound

Calling the healthcare provider

While assessing a patient with a pulmonary embolism, the nurse notes jugular vein distention. Which should be the nurse's priority action? Maintaining IV access Calling the healthcare provider Instructing the patient to report chest pain Assessing skin color and temperature