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1. Question
A client has experienced pulmonary embolism. A nurse assesses for which symptom, which is most commonly reported?
Correct
Answer & Rationale:
Option 3 is Correct
Rationale: The most common initial symptom in pulmonary embolism is chest pain that is sudden in onset. The next most commonly reported symptom is dyspnea, which is accompanied by an increased respiratory rate. Other typical symptoms of pulmonary embolism include apprehension and restlessness, tachycardia, cough, and cyanosis.
Incorrect
Answer & Rationale:
Option 3 is Correct
Rationale: The most common initial symptom in pulmonary embolism is chest pain that is sudden in onset. The next most commonly reported symptom is dyspnea, which is accompanied by an increased respiratory rate. Other typical symptoms of pulmonary embolism include apprehension and restlessness, tachycardia, cough, and cyanosis.
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.
