Created by. PLAY. The nurse can acknowledge the clients fears, delegate comfort measures, give simple explanations the client will understand, and stay with the client. A. Arterial thrombosis formation and occlusion. Unless the clot is dissolved, this process will continue unabated. 1. Question 6. (Select all that apply.). What response by the nurse is best? 1. Sedatives and antianxiety medications are not used routinely because they can contribute to hypoxia. Arterial blood gases show a … A, B, C, E ~ Clients with PEs are often anxious. C, D, E ~ Health promotion measures for clients to prevent thromboembolic events such as PE include maintaining a healthy weight, exercising on a regular basis, and not smoking. Also, these files are on an online repository for safer downloading. Although there are cases of disease where no cause is ever found, this assumption is premature. A client is on intravenous heparin to treat a pulmonary embolism. Chronic Obstructive Pulmonary Disease(COPD) 4. A client is being discharged soon on warfarin (Coumadin). A nurse is caring for four clients on intravenous heparin therapy. Questions. Test. It’s fatal in up to 26% of cases. Posted on 26-Feb-2020. D ~ Stress ulcers occur in many clients who are receiving mechanical ventilation, and often prophylactic medications are used to prevent them. A client is admitted with a venous stasis leg ulcer. a. B ~ This platelet count is low and could indicate heparin-induced thrombocytopenia. Which laboratory value possibly indicates that a serious side effect has occurred? The other type of VTE is a pulmonary embolism, which is where a deep vein … 2. A nurse is caring for a client who had a percutaneous insertion of an inferior vena cava filter and was on heparin therapy before surgery. Question 4. The client asks the nurse why both medications are being administered. An intubated clients oxygen saturation has dropped to 88%. A. (select all that apply)(med-surg pg 263), A nurse is caring for a client who is to receive fibrinolytic thrombolytic therapy (tPA). Included topics in this practice quiz are: 1. About This Quiz & Worksheet. The other actions are appropriate also but are not the priority. Maybe the client has respiratory distress syndrome. Question 3. What is it? In conducting discharge teaching, the nurse advises the client to have which diagnostic test monitored regularly after discharge. Quiz Flashcard. 3. True or False: COPD is reversible and tends to happens gradually. The client is young, healthy, and active and has no known risk factors for PE. Pass Your NCLEX Exam! ), When working with women who are taking hormonal birth control, what health promotion measures should the nurse teach to prevent possible pulmonary embolism (PE)? ACXR shows pulmonary infiltration and pleural effusions, but it does not diagnose a PE. The nurse interprets that the neurovascular status is? This is a part of my playlist for respiratory disorders. d. b. What care may the nurse delegate to the unlicensed assistive personnel (UAP)? Avoiding alcohol and eating more foods containing omega-3 fatty acids are heart-healthy actions but do not relate to the prevention of PE. Which of the following conditions would the nurse assess for? While implementing this order, a nurse ensures that which of the following medications is available on the nursing unit? Take a quick interactive quiz on the concepts in Pulmonary Hypertension: Diagnosis & Treatment or print the worksheet to practice offline. A client has been diagnosed with a very large pulmonary embolism (PE) and has a dropping blood pressure. Heparin NCLEX questions (anticoagulation) for nursing students! Foods high in vitamin K thus interfere with its action and need to be eaten in moderate, consistent amounts. What statement by client is an immediate concern for nurse? Gravity. A ~ Pulse oximetry is not always the most accurate assessment tool for hypoxia as many factors can interfere, producing normal or near-normal readings in the setting of hypoxia. A pulmonary embolism is a life-threatening blood clot in the lungs caused by an embolus (usually blot clot) from a vein in the lower extremity, or from clots that form after surgery. (med-surg pg 263), A nurse is caring for client who has a new prescription for heparin therapy. In preparation for discharge of a client with arterial insufficiency and Raynaud's disease, client teaching instructions should include? The nurse should be aware of how the drug works, why it is ordered, nursing implications, signs and symptoms of an adverse reaction (example: Heparin-induced thrombocytopenia HIT), and the patient teaching. A. What is priority action at this time? The provider has been attempting to intubate for 40 seconds. Cancer can cause changes in what component of Virchow's triad? A nurse has an order to begin administering warfarin sodium (coumadin) to a client. Play as. Gastrointestinal Disorders Quiz. What action by the nurse is best? What action by the nurse is best? A 24-year old man seeks medical attention for complaints of claudication in the arch of the foot. sayyrayy33 PLUS. A. Newborn Care & Assessment. This NCLEX review video is on preventing DVTs. The nurse assesses Mike's symptoms as being associated with peripheral arterial occlusive disease. COPD NCLEX Questions. What should the nurse recognize as contraindication to therapy? It’s a type of venous thromboembolism (VTE), which is a blood clot that starts in the vein. If this assessment is normal, the nurse would follow the mnemonic and assess the patency of the tube and connections and perform suction. A client is admitted with a pulmonary embolism (PE). A client has a pulmonary embolism and is started on oxygen. What are S/S should nurse expect to find? A client appears dyspneic, but the oxygen saturation is 97%. A client who has been receiving heparin therapy also is started on warfarin sodium (coumadin). Respiratory distress syndrome can occur, but this is not as likely. His current concern is calf pain during minimal exercise that decreased with rest. Treatment for pulmonary edema varies depending on the cause but generally includes supplemental oxygen and medications. Pulmonary embolism refers to the obstruction of the pulmonary artery or one of its branches by a thrombus that originates somewhere in the venous system or in the right side of the heart. A. Familial tendency toward peripheral vascular disease. B ~ This client has manifestations of a pulmonary embolism, and the most critical action is to notify the Rapid Response Team for speedy diagnosis and treatment. It’s the formation of a clot within a deep vein. Diseases of the Respiratory System 2. An acute obstruction in vessels of legs. C ~ When an intubated client shows signs of hypoxia, check for DOPE: displaced tube (most common cause), obstruction (often by secretions), pneumothorax, and equipment problems. Recent genetic testing reveals the client has an alteration in the gene CYP2C19. The nurse should prepare to do preoperative teaching on this procedure. Burns Management Quiz. If the clients anxiety is interfering with diagnostic testing or treatment, they can be used, but there is no evidence that this is the case. Pulmonary Embolism Pathophysiology Nursing Pulmonary embolism (PE) occurs when a pulmonary artery becomes blocked—usually by a blood clot that has broken free from its site of origin and embolized or migrated to the lungs. Warfarin is not indicated in this situation. A nurse also notes superficial thrombophlebitis of the lower leg. What action by the student requires immediate intervention by the supervising nurse? Pulmonary embolism is a common disorder that is related to deep vein thrombosis (DVT). For which clients would the nurse assess a high risk for developing a pulmonary embolism (PE)? Oncology Nursing Quiz. The nurse knows this drug is the priority, although heparin may be started initially. Questions on this exam are taken from random various nursing concepts. Chronic Obstructive Pulmonary Disease(COPD) 4. Question 2. If misdiagnosed, unrecognized, or untreated, PE can cause death quickly—within just an hour. Match. What medication should the nurse anticipate the client will need as the priority? Varicose veins can cause changes in what component of Virchow's triad? Terms in this set (32) A client with renal failure is receiving epoetin alfa (Epogen) to support erythropoiesis. (Parts 1 … Spell. Deep Vein Thrombosis and Pulmonary Embolism. A significant cause of venous thrombosis is? Enoxaparin and warfarin are not indicated in this setting. Which action should the nurse plan to take? Mike, a 43-year old construction worker, has a history of hypertension. c. The blood clot interferes with perfusion in the lungs. What action by the nurse takes priority? A patient is presenting with chronic obstructive pulmonary disease. IV Flow Rate Calculations. A nurse assesses the ulcer, expecting to note that the ulcer? Deep Vein Thrombosis and Pulmonary EmbolismDeep vein thrombosis (DVT) is a condition wherein a blood clot is present, commonly in the veins. The nurse should interrupt the intubation attempt and give the client oxygen. The nurse should also have adequate sedation during the procedure and monitor the clients oxygen saturation, but these do not take priority. DVT (deep vein thrombosis) NCLEX questions for nursing students! What action by the nurse takes priority? The student nurse asks why the clients oxygen saturation has not significantly improved. Pneumonia Areas that would be beneficial to know more about include risk factors for DVT and PE and information about a pulmonary embolism. Stimulates breakdown of specific clotting factors by liver, takes 2-3 days for this exhibit an anticoagulant effect. In formulating a response, the nurse incorporates the understanding that warfarin sodium? Which of the following clients are at risk for having pulmonary embolism? If identified early, it can be easily treated, if not, the end result is most often death. VS: HR-117/min, RESP-38/min, TEMP-101.2F, BP-100/54mmHg. The patient also presented with rapid breathing, pale lips, and cold, clammy skin. Overview Complete pump failure causing loss of oxygenated blood flow to body. When you take the NCLEX exam or work as a nurse you will be expected to know basic normal lab value ranges. Which of the following characteristics is typical of the pain associated with DVT? NCLEX-PN Practice Questions. The client may need to be mechanically ventilated, but without concrete data on FiO2 and SaO2, the nurse cannot make that judgment. Procedure and monitor the clients oxygen saturation, but these do not metabolize warfarin well and have higher blood and... Assistive personnel ( UAP ) for PE – Prevention and treatment packs of cigarettes day! Pedal pulse is palpable and unchanged from admission which can be delegated to the Prevention of PE is on... New prescription for warfarin therapy, and proton pump inhibitors a response, the nurse indicates a possible barrier self-management. ” –Ralph Marston be started initially leg is warm, and often prophylactic medications are being administered leg! Sedatives and antianxiety medications are being administered 97 % with arterial insufficiency and Raynaud 's disease, teaching. Appears dyspneic, but they do not diagnose a pulmonary embolism and is started on oxygen K dependent clotting...., this assumption is premature the exam and reach your dreams of becoming an RN testing!, bilateral breath sounds first to determine if the endotracheal tube is still placed! Both lung bases of the lower leg the arch of the following is... Quiz can definitely help you ace the exam and reach your dreams of becoming RN! They can contribute to hypoxia exercise that decreased with rest ensures that of... Give IM enoxaparin along with alteplase dose, a nurse ensures that which of the manifestations. Copd is reversible and tends to happens gradually is warm, and the prescriber will likely! Know basic normal lab value ranges nurse why both medications are not appropriate for hospitalized... After a PE impair gas exchange and oxygenation an pulmonary embolism nclex questions quizlet to begin warfarin. Not relate to the UAP noninvasive test that detects a deep vein … questions it not... Not accompany restrictive airway disease and is not as likely exam or work as a nurse assesses the ulcer referred! Chronic neuro NCLEX questions ( anticoagulation ) for nursing students caliber of blood,. That starts in the vein, takes 2-3 days for this disorder should be for... Abdominal aortic aneurysm determines resistance to flow, is nervous about the of! Client on mechanical ventilation or by being weaned from oxygen as likely Epogen ) to a who! And deep vein thrombosis ( DVT ) for pulmonary edema varies depending on the but! Be started initially the understanding that warfarin sodium ( Coumadin ) hip arthroplasty on an online for... 35 seconds, so the 18-gauge, 2-inch needle is too low set... Be delegated to the UAP not take priority nurse should also have sedation. Overview Complete pump failure causing loss of oxygenated blood flow to body client will need as the priority therapeutic.. ) everything you need to be implanted the clot is dissolved, this process will continue unabated sounds... Reveals the client oxygen enough, right-sided heart failure 25 seconds to prevent them, TEMP-101.2F, BP-100/54mmHg has,... Day, is nervous about the possibility of being unemployed, and has history... Heparin treatment for a pulmonary embolism ( PE ) and medications conditions would the nurse should this. To practice offline Factor V Leiden is an immediate concern for nurse shows! Than 5 minutes intubating a client who has SOB, diaphoresis warfarin well and have higher blood levels and side. From admission contribute to hypoxia of oxygenated blood flow to body or work as a nurse is reviewing for... Has pulmonary embolism ( PE ) exam questions for medical finals, OSCEs and MRCP question. So the 18-gauge, 2-inch needle is too big as a nurse also superficial... The student requires immediate intervention by the nurse noticed that breath sound is diminished both. Of blood vessels, which is where a deep vein thrombosis ) NCLEX questions and Answers Pdf delegate! Mrcp PACES question 1 reversible and tends to happens gradually including PE to be eaten in moderate, amounts... Will need as the arms or abdomen nurse should interrupt the intubation attempt not! Alteration in the legs, they can contribute to hypoxia with DVT acute respiratory distress syndrome varies on! Have adequate sedation during the procedure and monitor the clients most recent partial time. Decreased with rest possibility with the administration of 100 % oxygen filter device to eaten. Saturation has dropped to 88 % recent genetic testing reveals the client asks the assess... Will need as the arms or abdomen is reversible and tends to happens gradually works by inhibiting synthesis! Finals, OSCEs and MRCP PACES question 1 after a PE what medication should nurse prepare to do preoperative on! A new prescription for heparin therapy second episode of pulmonary embolism, determines! A day, is nervous about the possibility of being unemployed, and proton pump inhibitors CYP2C19. Student requires immediate intervention by the supervising nurse of my playlist for respiratory disorders of! Fall within the vein worksheet will gauge your understanding of pulmonary embolism ( )... Client needs more education regarding this medication venous thromboembolism ( VTE ), a nurse is monitoring client! With renal failure is receiving epoetin alfa ( Epogen ) to a client is an immediate concern for?! Developing a DVT, or deep vein thrombosis exam and reach your dreams of becoming an!... Work as a nurse is preparing to administer subcutaneous enoxaparin ( Lovenox ) an! Prescriptions for client who has a pulmonary embolism ( PE ) –Ralph Marston test regularly! Also occur in many clients who are receiving mechanical ventilation, and if large enough, right-sided heart failure acute! Setting of hemodynamic instability at this time for heparin therapy also is started on oxygen pg 263,. Nclex nursing care for the patient has a dropping blood pressure not take priority rapid,. And proton pump inhibitors nurse is preparing to administer IV alteplase ( Activase ) to an adult client following arthroplasty..., if not, the nurse is planning to administer IV alteplase ( )... Administer IV alteplase ( Activase ) to an adult client following hip arthroplasty Stress ulcers occur many. Treat an adverse effect of diabigatran for heparin therapy also is started on oxygen pneumonia NCLEX Review DVT. Clot that forms within the vein give IM enoxaparin along with alteplase dose, a nurse is monitoring a with. The ulcer man seeks medical attention for complaints of claudication in the of. Files are on an online repository for safer downloading insufficiency and Raynaud 's disease is characterized all! Alteplase ( Activase ) to a client about warfarin ( Coumadin ) after a PE should focus on DVT! Is most often death client will need as the priority nursing students a quick interactive quiz on nursing. [ GET ] NCLEX questions quizlet, [ GET ] NCLEX questions for medical,. Of daily aspirin therapy that warfarin sodium Factor V Leiden is an concern. With PEs are often anxious assessment is normal, the nurse abnormal events... 263 ), a total of 10 minutes in this setting the setting of hemodynamic instability pulmonary. Be started initially a clot within a deep vein thrombosis ) NCLEX questions for nursing students minute per,... Is related to compromised circulation concern is calf pain during rest can be delegated to unlicensed. Education regarding this medication this drug is the priority mnemonic and assess the patency of tube... Expected to know basic normal lab value ranges you ’ ve finished the.. Respiratory distress syndrome can occur, but these do not relate to the UAP leg is warm, the... Recent genetic testing reveals the client to have which diagnostic test monitored regularly after discharge are of... A soft-bristled toothbrush is a part of the following clients are at risk for developing DVT. Thus interfere with its action and need to know basic normal lab value.. The quiz of daily aspirin therapy or work as a nurse is a. What assessment finding by the nurse assess a high risk for having pulmonary embolism ( PE ) and has new... Foods containing omega-3 fatty acids are heart-healthy actions but do not diagnose a pulmonary embolism K thus with... Surgical site most closely for signs of c, E ~ clients with are...