Burns Management Quiz. Walking several times/day as exercise program. Enoxaparin and warfarin are not indicated in this setting. NCLEX nursing care for the patient with a Pulmonary Embolism (PE) everything you need to know in less than 5 minutes. The client asks the nurse why both medications are being administered. A client who has been receiving heparin therapy also is started on warfarin sodium (coumadin). The student nurse asks why the clients oxygen saturation has not significantly improved. 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. If misdiagnosed, unrecognized, or untreated, PE can cause death quickly—within just an hour. (med-surg pg 263), A nurse is caring for client who has a new prescription for heparin therapy. While most DVTs happen in the legs, they can also occur in other parts of the body such as the arms or abdomen. A, B, C, E ~ Clients with PEs are often anxious. Which intervention is appropriate for nurse to plan? The nurse assesses Mike's symptoms as being associated with peripheral arterial occlusive disease. (select all that apply). C ~ A large blood clot in the lungs will significantly impair gas exchange and oxygenation. It would be impossible to eliminate all vitamin K from the diet. The nurse would inspect the surgical site most closely for signs of? Learn. Included topics in this practice quiz are: 1. Pass Your NCLEX Exam! What care may the nurse delegate to the unlicensed assistive personnel (UAP)? 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. What response by the nurse is best? What nursing actions are most appropriate? What action by the nurse takes priority? Growth and Development Quiz. Which of the following clients are at risk for having pulmonary embolism? Common Pulmonary Embolus (PE)exam questions for medical finals, OSCEs and MRCP PACES Question 1. 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. chronic neuro nclex questions quizlet, [GET] Nclex Questions And Answers Pdf. Foods high in vitamin K thus interfere with its action and need to be eaten in moderate, consistent amounts. NCLEX review questions: Respiratory. A client has a pulmonary embolism and is started on oxygen. A client appears dyspneic, but the oxygen saturation is 97%. A client is admitted with a pulmonary embolism (PE). When you take the NCLEX exam or work as a nurse you will be expected to know basic normal lab value ranges. 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. 2. The affected leg is warm, and the nurse notes redness and edema. Causes decreased perfusion, hypoxemia, and if large enough, right-sided heart failure. (med-surg pg 263). In this video I discuss pulmonary embolism! Created by. 2. If this assessment is normal, the nurse would follow the mnemonic and assess the patency of the tube and connections and perform suction. Breathing so rapidly interferes with oxygenation. Recent genetic testing reveals the client has an alteration in the gene CYP2C19. A. A patient is presenting with chronic obstructive pulmonary disease. A ~ Activase is a clot-busting agent indicated in large PEs in the setting of hemodynamic instability. The nursing diagnosis is probably? A 24-year old man seeks medical attention for complaints of claudication in the arch of the foot. A client is on a ventilator and is sedated. A. Familial tendency toward peripheral vascular disease. Varicose veins can cause changes in what component of Virchow's triad? Zantac is a histamine blocking agent. Gravity. Warfarin is not indicated in this situation. Emergency Nursing & Triage. ! You are given 1 minute per question, a total of 10 minutes in this quiz. NCLEX Pulmonary Edema – Signs and Symptoms 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. If identified early, it can be easily treated, if not, the end result is most often death. A client has been diagnosed with a very large pulmonary embolism (PE) and has a dropping blood pressure. a. Which of the following assessment findings by the nurse is probably unrelated to the aneurysm? Overview Complete pump failure causing loss of oxygenated blood flow to body. Finding another provider is not appropriate at this time. A nurse is assessing a client who has pulmonary embolism. Which medication prescribed concurrenty to treat an adverse effect of diabigatran? Heparin is usually held or decreased until the PTT drops back into therapeutic range. RENAL NCLEX QUESTIONS. (Select all that apply.). A nurse also notes superficial thrombophlebitis of the lower leg. 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. What order should the nurse anticipate? The nurse should interrupt the intubation attempt and give the client oxygen. The other options are not related. Which action should the nurse plan to take? Once a DVT has developed it could result in a pulmonary embolism (PE). 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. Pneumonia What action by the nurse takes priority? What are S/S should nurse expect to find? This quiz and worksheet will gauge your understanding of pulmonary edema. A nurse is teaching a client about warfarin (Coumadin). 1. His current concern is calf pain during minimal exercise that decreased with rest. C ~ The client on mechanical ventilation needs frequent oral care, which can be delegated to the UAP. A deep vein thrombosis (DVT) is a blood clot that forms within the vein. ABGs evaluate oxygenation level, but they do not diagnose a pulmonary embolism. A normal PTT is 25 to 35 seconds, so this clients PTT value is too low. A client has a pulmonary embolism and is started on oxygen. Test. 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. >>NCLEX Review Questions — Test Yourself! In preparation for discharge of a client with arterial insufficiency and Raynaud's disease, client teaching instructions should include? The other actions are appropriate. The clients most recent partial thromboplastin time (PTT) was 25 seconds. It’s a type of venous thromboembolism (VTE), which is a blood clot that starts in the vein. Play as. 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. Follow the guidelines below to make the most out of this exam: Bronchial Asthma 3. Quiz Flashcard. It does not accompany restrictive airway disease and is not caused by the use of mechanical ventilation or by being weaned from oxygen. A nurse is assessing a client with an abdominal aortic aneurysm. Terms in this set (32) A client with renal failure is receiving epoetin alfa (Epogen) to support erythropoiesis. The nurse knows this drug is the priority, although heparin may be started initially. In formulating a response, the nurse incorporates the understanding that warfarin sodium? Avoiding alcohol and eating more foods containing omega-3 fatty acids are heart-healthy actions but do not relate to the prevention of PE. (Select all that apply. An acute obstruction in vessels of legs. The nurse should conduct a more thorough assessment. Maybe the client has respiratory distress syndrome. ), When working with women who are taking hormonal birth control, what health promotion measures should the nurse teach to prevent possible pulmonary embolism (PE)? The other actions fall within the scope of practice of the nurse. Sequential Easy First Hard First. Diseases of the Respiratory System 2. (Select all that apply)(med-surg pg 263), A nurse is reviewing prescriptions for client who has SOB, diaphoresis. Foods high in vitamin K thus interfere with its action and need to be eaten in moderate, consistent amounts. 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. The patient also presented with rapid breathing, pale lips, and cold, clammy skin. Heparin is an anticoagulant that helps prevent and treat blood clots. Which laboratory value possibly indicates that a serious side effect has occurred? ACXR shows pulmonary infiltration and pleural effusions, but it does not diagnose a PE. … The other type of VTE is a pulmonary embolism, which is where a deep vein … It’s fatal in up to 26% of cases. The other actions are appropriate also but are not the priority. “What you do today can improve all your tomorrows.” –Ralph Marston. 1. (Select all that apply.). However, clients with a variation in the CYP2C19 gene do not metabolize warfarin well and have higher blood levels and more side effects. A nurse is caring for a hospitalized client who is receiving IV heparin for DVT. Arterial blood gases show a … c. The blood clot interferes with perfusion in the lungs. B ~ This platelet count is low and could indicate heparin-induced thrombocytopenia. A nurse is planning to administer subcutaneous enoxaparin (lovenox) to an adult client following hip arthroplasty. Deep Vein Thrombosis (DVT) NCLEX Review. Pneumonia Give IM enoxaparin along with alteplase dose, A nurse is monitoring a client who takes aspirin 81mg PO daily. Oncology Nursing Quiz. Chronic Obstructive Pulmonary Disease(COPD) 4. b. Topics. The most important factor in regulating the caliber of blood vessels, which determines resistance to flow, is? Frequently used medications include antacids, histamine blockers, and proton pump inhibitors. A client is on intravenous heparin to treat a pulmonary embolism. When caring for a patient who has started anticoagulant therapy with warfarin (Coumadin), the nurse knows not to expect therapeutic benefits for? 2. A nurse is caring for five clients. B ~ Warfarin works by inhibiting the synthesis of vitamin K dependent clotting factors. Buerger's disease is characterized by all of the following except? A nurse has an order to begin administering warfarin sodium (coumadin) to a client. A. A client is admitted with a venous stasis leg ulcer. What medication should the nurse anticipate the client will need as the priority? Treatment for pulmonary edema varies depending on the cause but generally includes supplemental oxygen and medications. According to Virchow's Triad, a blood clot can form within the vein for several reasons. A client with no known risk factors for this disorder should be referred for testing. The patient has a chronic productive cough with dyspnea on excretion. Start. What response by the nurse is best? The other values are normal for either gender. Client says feels anxious and cant get enough air. Following heparin treatment for a pulmonary embolism, a client is being discharged with a prescription for warfarin (Coumadin). Gastrointestinal Disorders Quiz. sayyrayy33 PLUS. The nurse listens for equal, bilateral breath sounds first to determine if the endotracheal tube is still correctly placed. Included topics in this practice quiz are: 1. This 40-item NCLEX practice quiz can definitely help you ace the exam and reach your dreams of becoming an RN! Question 4. 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. About This Quiz & Worksheet. He smokes two packs of cigarettes a day, is nervous about the possibility of being unemployed, and has difficulty coping with stress. What is it? A client with a new pulmonary embolism (PE) is anxious. The other actions are not appropriate for a hypoxic client. Drug Dosage Calculations. The heparin rate needs to be increased. Finally, in this section of the article, you will be able to get access to the Uworld NCLEX Questions PDF 2018 Free Download files. Difficulty. Question 2. Patients on bed rest are at risk of developing a DVT, or Deep Vein Thrombosis. Bronchial Asthma 3. DVT (deep vein thrombosis) NCLEX questions for nursing students! PLAY. Which of the following characteristics is typical of the pain associated with DVT? B ~ Warfarin works by inhibiting the synthesis of vitamin Kdependent clotting factors. Which of the following manifestations are adverse effects of daily aspirin therapy? What menu selection for dinner indicates the client needs more education regarding this medication? Question 5. The nurse interprets that the neurovascular status is? Areas that would be beneficial to know more about include risk factors for DVT and PE and information about a pulmonary embolism. It is a cardinal sign of acute respiratory distress syndrome. C ~ Each intubation attempt should not exceed 30 seconds (15 is preferable) as it causes hypoxia. 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. All questions are shown, but the results will only be given after you’ve finished the quiz. In conducting discharge teaching, the nurse advises the client to have which diagnostic test monitored regularly after discharge. Diseases of the Respiratory System 2. (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 … A. Arterial thrombosis formation and occlusion. a. Normal because of increased blood flow through leg. Although there are cases of disease where no cause is ever found, this assumption is premature. Spell. Match. The nurse should also have adequate sedation during the procedure and monitor the clients oxygen saturation, but these do not take priority. The student nurse asks why the clients oxygen saturation has not significantly improved. Nursing Points General What is a pulmonary embolism Risk Factors Previous DVT Surgery within last 4 […] Uworld NCLEX Questions PDF 2018 Free Download Section. Cancer can cause changes in what component of Virchow's triad? 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. The client is young, healthy, and active and has no known risk factors for PE. A student nurse is preparing to administer enoxaparin (Lovenox) to a client. Newborn Care & Assessment. If a DVT is suspected, it is important to … A nurse is caring for several clients. After heparin has been stopped, which medication should nurse prepare to administer? During the Quiz End of Quiz. 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. For which clients would the nurse assess a high risk for developing a pulmonary embolism (PE)? What should the nurse recognize as contraindication to therapy? 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. While implementing this order, a nurse ensures that which of the following medications is available on the nursing unit? ABG Interpretation Quiz. 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. Test your knowledge on the lab values you need to know for NCLEX with these quiz questions for nursing students! Stimulates breakdown of specific clotting factors by liver, takes 2-3 days for this exhibit an anticoagulant effect. Deep Vein Thrombosis and Pulmonary Embolism. To improve patient outcomes nurses should focus on preventing DVT. Posted on 26-Feb-2020. An intubated clients oxygen saturation has dropped to 88%. The nurse would next assess the client for? With peripheral arterial insufficiency, leg pain during rest can be reduced by? Mike, a 43-year old construction worker, has a history of hypertension. B ~ Often clients are discharged from the hospital on warfarin (Coumadin) after a PE. A client is hospitalized with a second episode of pulmonary embolism (PE). A nurse is caring for a client who had A-Fib and has a new prescription for dabigatran (Pradaxa) to prevent development of thrombosis. 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. 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