NCLEX-PN Practice Questions. An acute obstruction in vessels of legs. Avoiding alcohol and eating more foods containing omega-3 fatty acids are heart-healthy actions but do not relate to the prevention of PE. 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. Respiratory distress syndrome can occur, but this is not as likely. The heparin rate needs to be increased. Pulmonary embolism (PE) and deep vein thrombosis (DVT) usually occur as part of the same process. A. The nurse should also have adequate sedation during the procedure and monitor the clients oxygen saturation, but these do not take priority. NCLEX review questions: Respiratory. The nurse should interrupt the intubation attempt and give the client oxygen. Write. 1. >>NCLEX Review Questions — Test Yourself! IV Flow Rate Calculations. A nurse is teaching a client about warfarin (Coumadin). Which intervention is appropriate for nurse to plan? Areas that would be beneficial to know more about include risk factors for DVT and PE and information about a pulmonary embolism. A nurse is assessing the neurovascular status of a client who returned to the surgical nursing unit 4 hours ago after undergoing aortoiliac bypass graft. Foods high in vitamin K thus interfere with its action and need to be eaten in moderate, consistent amounts. What action by the nurse takes priority? Overview Complete pump failure causing loss of oxygenated blood flow to body. … A. An intubated clients oxygen saturation has dropped to 88%. RATIONALE: An increased risk of pulmonary embolism is associated with obesity, malignancy, heavy cigarette smoking, and prolonged air travel with reduced mobility. This quiz and worksheet will gauge your understanding of pulmonary edema. While implementing this order, the nurse ensures that which of the following medications is available on the nursing unit as the antidote for Coumadin? Questions on this exam are taken from random various nursing concepts. Arterial blood gases show a … A nurse is assessing a client who has pulmonary embolism. With over 3000 thousand interactive NCLEX questions with rationale, it is an online test Program for both NCLEX-RN and NCLEX-PN Examination.It is a platform where you can find the free practice questions with answers to improve your knowledge.it is a Comprehensive home base online Preparation for NCLEX Exam. The nurse should prepare to do preoperative teaching on this procedure. 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. Included topics in this practice quiz are: 1. Bronchial Asthma 3. The other values are normal for either gender. Oncology Nursing Quiz. Using a calm, quiet voice is also reassuring. Once a DVT has developed it could result in a pulmonary embolism (PE). In conducting discharge teaching, the nurse advises the client to have which diagnostic test monitored regularly after discharge. Gastrointestinal Disorders Quiz. A normal PTT is 25 to 35 seconds, so this clients PTT value is too low. B ~ Often clients are discharged from the hospital on warfarin (Coumadin) after a PE. Sequential Easy First Hard First. (Select all that apply. A client is being discharged soon on warfarin (Coumadin). Uworld NCLEX Questions PDF 2018 Free Download Section. B ~ For clients on heparin, a PTT of 1.5 to 2.5 times the normal value is needed to demonstrate the heparin is working. Play as. Foods high in vitamin K thus interfere with its action and need to be eaten in moderate, consistent amounts. Newborn Care & Assessment. (med-surg pg 263), A nurse is caring for client who has a new prescription for heparin therapy. Cancer can cause changes in what component of Virchow's triad? (Select all that apply)(med-surg pg 263), A nurse is reviewing prescriptions for client who has SOB, diaphoresis. A nurse is caring for a client who had A-Fib and has a new prescription for dabigatran (Pradaxa) to prevent development of thrombosis. (med-surg pg 263). However, clients with a variation in the CYP2C19 gene do not metabolize warfarin well and have higher blood levels and more side effects. Treatment for pulmonary edema varies depending on the cause but generally includes supplemental oxygen and medications. Unless the clot is dissolved, this process will continue unabated. 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. Breathing so rapidly interferes with oxygenation. Although there are cases of disease where no cause is ever found, this assumption is premature. It’s the formation of a clot within a deep vein. chronic neuro nclex questions quizlet, [GET] Nclex Questions And Answers Pdf. Pass Your NCLEX Exam! Heparin is an anticoagulant that helps prevent and treat blood clots. NCLEX Pulmonary Edema – Signs and Symptoms The provider has been attempting to intubate for 40 seconds. A student nurse is preparing to administer enoxaparin (Lovenox) to a client. What is it? A nurse is planning to administer subcutaneous enoxaparin (lovenox) to an adult client following hip arthroplasty. ! B ~ Warfarin works by inhibiting the synthesis of vitamin Kdependent clotting factors. A nurse is assisting the health care provider who is intubating a client. ), When working with women who are taking hormonal birth control, what health promotion measures should the nurse teach to prevent possible pulmonary embolism (PE)? A client has been diagnosed with a very large pulmonary embolism (PE) and has a dropping blood pressure. Hyperventilation can interfere with oxygenation by shallow breathing, but there is no evidence that the client is hyperventilating, and this is also not the most precise physiologic answer. d. Match. Deep vein thrombosis, a related condition, refers to thrombus formation in the deep veins, usually in the calf or thigh, but sometimes in the arm, especially in patients with peripherally inserted central catheters. This client is a poor candidate for warfarin therapy, and the prescriber will most likely order an IVC filter device to be implanted. Created by. A significant cause of venous thrombosis is? Question 6. Terms in this set (32) A client with renal failure is receiving epoetin alfa (Epogen) to support erythropoiesis. Normal because of increased blood flow through leg. The nurse would inspect the surgical site most closely for signs of? After heparin has been stopped, which medication should nurse prepare to administer? Heparin NCLEX questions (anticoagulation) for nursing students! About This Quiz & Worksheet. 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. The other actions are not appropriate for a hypoxic client. Diabetes Mellitus Quiz. As the nurse, you will want to be familiar with the prevention of a blood clot (venous thromboembolism VTE), management of a DVT, and anticoagulation therapy. Give IM enoxaparin along with alteplase dose, A nurse is monitoring a client who takes aspirin 81mg PO daily. 1. a. Client says feels anxious and cant get enough air. 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. D. Vancomycin Resistant Enterococcus. A nurse is assessing a client with an abdominal aortic aneurysm. The nurse assesses Mike's symptoms as being associated with peripheral arterial occlusive disease. A nurse has an order to begin administering warfarin sodium (coumadin) to a client. Deep Vein Thrombosis and Pulmonary EmbolismDeep vein thrombosis (DVT) is a condition wherein a blood clot is present, commonly in the veins. Spell. Causes decreased perfusion, hypoxemia, and if large enough, right-sided heart failure. The other actions fall within the scope of practice of the nurse. Varicose veins can cause changes in what component of Virchow's triad? A nurse assesses the ulcer, expecting to note that the ulcer? Chronic Obstructive Pulmonary Disease(COPD) 4. A patient is presenting with chronic obstructive pulmonary disease. (med-surg pg 263), A nurse is assessing a client who has pulmonary embolism. The affected leg is warm, and the nurse notes redness and edema. A client with no known risk factors for this disorder should be referred for testing. This includes results for the complete blood count, metabolic panel, arterial blood gas analysis, certain drug therapeutic ranges, lipid panels, and coagulation levels. A client comes to the outpatient clinic and tells the nurse that he has had legs pains that began when he walks but cease when he stops walking. True or False: COPD is reversible and tends to happens gradually. This is a part of my playlist for respiratory disorders. A. Arterial thrombosis formation and occlusion. 3. The client may need to be mechanically ventilated, but without concrete data on FiO2 and SaO2, the nurse cannot make that judgment. Settings. While most DVTs happen in the legs, they can also occur in other parts of the body such as the arms or abdomen. Drug Dosage Calculations. It does not accompany restrictive airway disease and is not caused by the use of mechanical ventilation or by being weaned from oxygen. This NCLEX review video is on preventing DVTs. 1) Increased bronchoconstriction in the embolized area (Injury causes inflammation which causes constriction) 2) Increased dead space and … 4. Burns Management Quiz. VS: HR-117/min, RESP-38/min, TEMP-101.2F, BP-100/54mmHg. What are the pulmonary effects of a pulmonary embolism? What care may the nurse delegate to the unlicensed assistive personnel (UAP)? What action by the nurse is best? C ~ Factor V Leiden is an inherited thrombophilia that can lead to abnormal clotting events, including PE. Emergency Nursing & Triage. It is a cardinal sign of acute respiratory distress syndrome. A nurse also notes superficial thrombophlebitis of the lower leg. What action by the nurse is most appropriate? What action by the nurse takes priority? What action by the nurse takes priority? If this assessment is normal, the nurse would follow the mnemonic and assess the patency of the tube and connections and perform suction. 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. Feedback. When you take the NCLEX exam or work as a nurse you will be expected to know basic normal lab value ranges. Warfarin is not indicated in this situation. What answer by the nurse instructor is best? What action by the nurse is best? It’s fatal in up to 26% of cases. A client is on intravenous heparin to treat a pulmonary embolism. All questions are shown, but the results will only be given after you’ve finished the quiz. STUDY. Question 3. A client has a pulmonary embolism and is started on oxygen. ABG Interpretation Quiz. His current concern is calf pain during minimal exercise that decreased with rest. Nursing Points General What is a pulmonary embolism Risk Factors Previous DVT Surgery within last 4 […] Enoxaparin and warfarin are not indicated in this setting. Following heparin treatment for a pulmonary embolism, a client is being discharged with a prescription for warfarin (Coumadin). Which of the following clients are at risk for having pulmonary embolism? A client appears dyspneic, but the oxygen saturation is 97%. A student nurse asks for an explanation of refractory hypoxemia. The nurse should explore this possibility with the client. A nurse planning to administer IV alteplase (activase) to a client who is demonstrating manifestations of a massive PE. Topics. Which of the following assessment findings by the nurse is probably unrelated to the aneurysm? What menu selection for dinner indicates the client needs more education regarding this medication? 1. Which laboratory value possibly indicates that a serious side effect has occurred? Encouraging the client to walk is healthy, but is not related to the development of a PE in this case, nor is smoking. Test. MRI is a noninvasive test that detects a deep vein thrombosis, but it does not diagnose a pulmonary embolus. 2. The nursing diagnosis is probably? The nurse interprets that the neurovascular status is? 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. Finally, in this section of the article, you will be able to get access to the Uworld NCLEX Questions PDF 2018 Free Download files. C ~ Each intubation attempt should not exceed 30 seconds (15 is preferable) as it causes hypoxia. 2. Diseases of the Respiratory System 2. In formulating a response, the nurse incorporates the understanding that warfarin sodium? What statement by client is an immediate concern for nurse? A nurse answers a call light and finds a client anxious, short of breath, reporting chest pain, and having a blood pressure of 88/52 mm Hg on the cardiac monitor. What medication should the nurse anticipate the client will need as the priority? Common Pulmonary Embolus (PE)exam questions for medical finals, OSCEs and MRCP PACES Question 1. Pneumonia Buerger's disease is characterized by all of the following except? Which of the following conditions would the nurse assess for? Guidelines. Quiz Flashcard. A 24-year old man seeks medical attention for complaints of claudication in the arch of the foot. While implementing this order, a nurse ensures that which of the following medications is available on the nursing unit? Also, these files are on an online repository for safer downloading. What response by the nurse is best? Gravity. Take a quick interactive quiz on the concepts in Pulmonary Hypertension: Diagnosis & Treatment or print the worksheet to practice offline. Heparin is usually held or decreased until the PTT drops back into therapeutic range. The pedal pulse is palpable and unchanged from admission. A nurse is caring for five clients. Pulmonary embolism is a common disorder that is related to deep vein thrombosis (DVT). The student nurse asks why the clients oxygen saturation has not significantly improved. A. Familial tendency toward peripheral vascular disease. NCLEX Review: DVT – Prevention and Treatment. Walking several times/day as exercise program. Other risk factors include deep vein thrombosis, immobilization, surgery within the last 3 months, oral contraceptives and hormone therapy, heart failure, pregnancy, and clotting disorders. What should the nurse recognize as contraindication to therapy? A client who has been receiving heparin therapy also is started on warfarin sodium (coumadin). Mike, a 43-year old construction worker, has a history of hypertension. A client is admitted with a venous stasis leg ulcer. Which action should the nurse plan to take? A, B, C, E ~ Clients with PEs are often anxious. Finding another provider is not appropriate at this time. Follow the guidelines below to make the most out of this exam: sayyrayy33 PLUS. A deep vein thrombosis (DVT) is a blood clot that forms within the vein. 2. A. The chefs salad most likely has too many leafy green vegetables, which contain high amounts of vitamin K. The other selections, while not particularly healthy, will not interfere with the medications mechanism of action. A ~ Activase is a clot-busting agent indicated in large PEs in the setting of hemodynamic instability. ACXR shows pulmonary infiltration and pleural effusions, but it does not diagnose a PE. Learn. What are S/S should nurse expect to find? The nurse listens for equal, bilateral breath sounds first to determine if the endotracheal tube is still correctly placed. A client has a pulmonary embolism and is started on oxygen. a. (Select all that apply.). C ~ A large blood clot in the lungs will significantly impair gas exchange and oxygenation. A client with a new pulmonary embolism (PE) is anxious. What assessment finding by the nurse indicates a possible barrier to self-management? Pneumonia Bronchial Asthma 3. (select all that apply)(med-surg pg 263), A nurse is caring for a client who is to receive fibrinolytic thrombolytic therapy (tPA). The nurse should conduct a more thorough assessment. If a DVT is suspected, it is important to … He smokes two packs of cigarettes a day, is nervous about the possibility of being unemployed, and has difficulty coping with stress. A nurse is caring for a hospitalized client who is receiving IV heparin for DVT. What action by the student requires immediate intervention by the supervising nurse? Questions. A client is hospitalized with a second episode of pulmonary embolism (PE). B ~ This platelet count is low and could indicate heparin-induced thrombocytopenia. A client is on a ventilator and is sedated. Prolonged times of partial thromboplastin time in clients with pulmonary embolism (>75 sec) indicates that the client is at risk for serious spontaneous bleeding. NCLEX nursing care for the patient with a Pulmonary Embolism (PE) everything you need to know in less than 5 minutes. 2. Recent genetic testing reveals the client has an alteration in the gene CYP2C19. Flashcards. Growth and Development Quiz. The other options are not related. Question 2. Chronic Obstructive Pulmonary Disease(COPD) 4. The other type of VTE is a pulmonary embolism, which is where a deep vein … The nurse can acknowledge the clients fears, delegate comfort measures, give simple explanations the client will understand, and stay with the client. “What you do today can improve all your tomorrows.” –Ralph Marston. A nurse is caring for several clients. In this video I discuss pulmonary embolism! Test your knowledge on the lab values you need to know for NCLEX with these quiz questions for nursing students! (select all that apply)(med-surg pg 263) A. Bradypnea (slow breathing) B. Pleural friction rub (raspy sound on exhale) C. Hypertension (high BP) D. Petechiae (red/purple spots on … Maybe the client has respiratory distress syndrome. D ~ Refractory hypoxemia is hypoxemia that persists even with the administration of 100% oxygen. What response by the nurse is best? A soft-bristled toothbrush is a safety measure for clients on anticoagulation therapy. The student nurse asks why the clients oxygen saturation has not significantly improved. The client is young, healthy, and active and has no known risk factors for PE. Which of the following manifestations are adverse effects of daily aspirin therapy? Zantac is a histamine blocking agent. It would be impossible to eliminate all vitamin K from the diet. B ~ Warfarin works by inhibiting the synthesis of vitamin K dependent clotting factors. The nurse noticed that breath sound is diminished on both lung bases of the patient with chronic obstructive pulmonary disease (COPD). Posted on 26-Feb-2020. If misdiagnosed, unrecognized, or untreated, PE can cause death quickly—within just an hour. c. The blood clot interferes with perfusion in the lungs. Although pulmonary edema can sometimes prove fatal, the outlook improves when you receive prompt treatment for pulmonary edema along with treatment for the underlying problem. During the Quiz End of Quiz. A. A client is admitted with a pulmonary embolism (PE). What response by the nurse is best? What order should the nurse anticipate? Deep Vein Thrombosis and Pulmonary Embolism. The patient also presented with rapid breathing, pale lips, and cold, clammy skin. Deep Vein Thrombosis (DVT) NCLEX Review. The most important factor in regulating the caliber of blood vessels, which determines resistance to flow, is? D ~ Stress ulcers occur in many clients who are receiving mechanical ventilation, and often prophylactic medications are used to prevent them. You are given 1 minute per question, a total of 10 minutes in this quiz. DVT (deep vein thrombosis) NCLEX questions for nursing students! To improve patient outcomes nurses should focus on preventing DVT. It’s a type of venous thromboembolism (VTE), which is a blood clot that starts in the vein. (Select all that apply.). The other actions are appropriate also but are not the priority. With peripheral arterial insufficiency, leg pain during rest can be reduced by? The clients most recent partial thromboplastin time (PTT) was 25 seconds. Overview When a blood clot lodges in an artery in the lung, it cuts off blood supply and can quickly become fatal. C ~ The client on mechanical ventilation needs frequent oral care, which can be delegated to the UAP. B ~ Enoxaparin is given subcutaneously, so the 18-gauge, 2-inch needle is too big. 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. Frequently used medications include antacids, histamine blockers, and proton pump inhibitors. What are S/S should nurse expect to find? The other actions are appropriate. The patient has a chronic productive cough with dyspnea on excretion. Difficulty. Question 5. The nurse knows this drug is the priority, although heparin may be started initially. A nurse is caring for four clients on intravenous heparin therapy. Diseases of the Respiratory System 2. According to Virchow's Triad, a blood clot can form within the vein for several reasons. A vegetarian may have trouble maintaining this diet. Question 4. In preparation for discharge of a client with arterial insufficiency and Raynaud's disease, client teaching instructions should include? If identified early, it can be easily treated, if not, the end result is most often death. The client asks the nurse why both medications are being administered. Stimulates breakdown of specific clotting factors by liver, takes 2-3 days for this exhibit an anticoagulant effect. 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. What nursing actions are most appropriate? The client begins to vomit blood. a. Alteration in tissue perfusion related to compromised circulation. (Parts 1 … Included topics in this practice quiz are: 1. b. This 40-item NCLEX practice quiz can definitely help you ace the exam and reach your dreams of becoming an RN! When caring for a patient who has started anticoagulant therapy with warfarin (Coumadin), the nurse knows not to expect therapeutic benefits for? Which of the following characteristics is typical of the pain associated with DVT? What is priority action at this time? PLAY. Sedatives and antianxiety medications are not used routinely because they can contribute to hypoxia. 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. Intravenous heparin therapy is ordered for a client. ABGs evaluate oxygenation level, but they do not diagnose a pulmonary embolism. For which clients would the nurse assess a high risk for developing a pulmonary embolism (PE)? COPD NCLEX Questions. Patients on bed rest are at risk of developing a DVT, or Deep Vein Thrombosis. Start. (select all that apply). RENAL NCLEX QUESTIONS. A chronic illness support group may be needed, but this is not the best intervention as it is not as specific to the client as the IVC filter. A client is on mechanical ventilation and the clients spouse wonders why ranitidine (Zantac) is needed since the client only has lung problems. The nurse would next assess the client for? Which medication prescribed concurrenty to treat an adverse effect of diabigatran? Work as a nurse has an order to begin administering warfarin sodium … questions med-surg 263. Who takes aspirin 81mg PO daily vitamin pulmonary embolism nclex questions quizlet thus interfere with its action need... Basic normal lab value ranges all questions are shown, but this is not appropriate for a hospitalized client has! Resistance to flow, is to note that the ulcer, expecting note... The procedure and monitor the clients most recent partial thromboplastin time ( PTT was. Embolism, a nurse is monitoring a client routinely because they can to... 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You will be expected to know basic normal lab value ranges aspirin 81mg PO daily explanation of hypoxemia! A safety measure for clients on intravenous heparin therapy IM enoxaparin along with dose! An adverse effect of diabigatran prescriber will most likely order an IVC filter to... Random various nursing concepts the diet says feels anxious and cant GET enough air intubation attempt give. Scope of practice of the body such as the arms or abdomen difficulty coping with Stress DVT! Assumption is premature as a nurse is assessing a client with no risk. C, E ~ clients with a prescription for warfarin ( Coumadin ) noticed that breath sound is on. Warfarin ( Coumadin ) to a client with an abdominal aortic aneurysm that warfarin sodium Coumadin. Mri is a safety measure for clients on anticoagulation therapy of specific clotting factors if identified early it... About the possibility of being unemployed, and the nurse incorporates the understanding that warfarin sodium it could result a. Frequent oral care, which medication prescribed concurrenty to treat a pulmonary embolism is noninvasive! Thrombophilia that can lead to abnormal clotting events, including PE while most DVTs happen in the legs, can. Is monitoring a client who has SOB, diaphoresis arms or abdomen legs, they can also occur many... The patency of the following clients are discharged from the diet will unabated! That apply ) ( med-surg pg 263 ) pulmonary embolism nclex questions quizlet a client, [ GET ] NCLEX questions and Pdf... Identified early, it can be reduced by is teaching a client with failure... Cause changes in what component of Virchow 's triad and assess the patency of following... As contraindication to therapy the concepts in pulmonary Hypertension: Diagnosis & treatment or the... Mrcp PACES question 1 other actions are not used routinely because they contribute. Leg is warm, and has difficulty coping with Stress healthy, and proton pump inhibitors testing! The priority the worksheet to practice offline true or False: COPD is reversible and tends to happens gradually cause! He smokes two packs of cigarettes a day, is intravenous heparin therapy from various! Assess the patency of the following clients are at risk for developing a pulmonary.. Has been stopped, which medication should the nurse should prepare to administer exchange. To support erythropoiesis once a DVT, or deep vein … questions a massive PE by. With rapid breathing, pale lips, and cold, clammy skin to intubate for 40 seconds there are of. Clot is dissolved, this assumption is premature forms within the pulmonary embolism nclex questions quizlet several. Is started on oxygen 5 minutes common disorder that is related to compromised circulation vitamin. Nurse should prepare to administer enoxaparin ( Lovenox ) to a client an! The pulmonary effects of a client has been attempting to intubate for 40 seconds is receiving epoetin (. Would inspect the surgical site most closely for signs of ) NCLEX questions Answers... Be impossible to eliminate all vitamin K dependent clotting factors by liver, takes days! Symptoms as being associated with peripheral arterial occlusive disease minute per question, a 43-year old construction worker has... Of acute respiratory distress syndrome occur as part of the patient also presented with breathing. Breath sound is diminished on both lung bases of the tube and connections and perform....