The client admitted with a deep vein thrombosis (DVT) is now complaining of chest pain and dyspnea. Which is the primary intervention for the nurse to take?
A) Apply oxygen via face mask.
B) Assess and rate the chest pain.
C) Apply compression stockings.
D) Prepare for ventilation-perfusion scan.
A
Feedback:
Maintaining patency of the airway and promoting oxygen concentration to the tissues of the lung are paramount in the management of pulmonary embolus. Managing the pain is important but not the primary intervention. The client may be ordered a ventilation-perfusion scan and pulmonary angiography but not the priority intervention. Application of compression stockings is ideal for preventing pulmonary emboli in high-risk clients but not an intervention after occurrence.
You might also like to view...
The client who experiences seizures is being discharged to home. The nurse should emphasize to the client and family the importance of monitoring the client for:
1. side effects like altered respiratory function from seizure medications. 2. providing safety measures when the client is taking a walk. 3. monitoring the client's eating habits. 4. protecting the client from infection.
The mother of a 3-month-old infant is distraught because the child vomits after every feeding. After an assessment, the nurse determines that the infant is experiencing regurgitation and not vomiting
What did the nurse assess in the infant? (Select all that apply.) A) Slight sour smell B) Occurs after a feeding C) Accompanied by prolonged crying D) Runs out of the mouth with no force E) Volume amount similar to entire stomach contents
The nurse is teaching parents the signs of a hearing impairment in infants. What should the nurse include as signs? (Select all that apply.)
a. Lack of a fencing reflex b. Lack of a startle reflex to a loud sound c. Awakened by loud environmental noises d. Failure to localize a sound by 6 months of age e. Response to loud noises as opposed to the voice
Which neurotransmitter is most affected by an anticholinergic drug?
a. Acetylcholine b. Dopamine c. Serotonin d. GABA