The nurse is explaining the mechanism of a pulmonary embolism to the family of a patient diagnosed with the disorder. Place in order the steps the nurse will use to instruct the family about this disease process
Click and drag the options below to move them up or down. 1. Blood clot causes backup of blood in the right ventricle.
2. Blood clot blocks blood to the left ventricle.
3. Left ventricle does not get enough blood to pump through the body.
4. Amount of blood the heart has to pump to the body drops.
5. Blood pressure drops.
6. Amount of blood going to the body drops.
1,2,3,4,5,6
Rationale 1: The obstruction caused by the pulmonary embolism increases the afterload of the right ventricle, causing right ventricular failure.
Rationale 2: The embolus prevents adequate blood flow from the pulmonary circulation to the left ventricle.
Rationale 3: Because blood flow from the pulmonary circulation is blocked, left ventricular preload drops.
Rationale 4: Because left ventricular preload is decreased, there is not enough blood in the heart to pump, causing decreased cardiac output.
Rationale 5: A lack of blood circulating will lead to hypotension.
Rationale 6: When the blood is backed up and is not being pumped into the general circulation, tissue perfusion is reduced.
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