NCLEX RN Practice Question # 402

pulmonary-embolism

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PULMONARY EMBOLISM

 Description:

Passage of a thrombus, often originating in a uterine or other pelvic vein, into the lungs, where it disrupts the circulation of the blood

Assessment:

  • Sudden dyspnea and chest pain
  • Tachypnea and tachycardia
  • Cough and lung crackles
  • Hemoptysis
  • Feeling of impending doom

 Interventions:

  • Administer oxygen.
  • Position client with the head of the bed elevated.
  • Monitor vital signs frequently, especially respiratory and heart rate and breath sounds.
  • Monitor for signs of respiratory distress and for signs of increasing hypoxemia.
  • Administer intravenous fluids as prescribed.
  • Administer anticoagulants as prescribed.
  • Prepare to assist the physician to administer medications to dissolve the clot if prescribed.

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