About This Quiz & Worksheet. 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. Maybe the client has respiratory distress syndrome. 1) Increased bronchoconstriction in the embolized area (Injury causes inflammation which causes constriction) 2) Increased dead space and … The nurse would next assess the client for? What is it? NCLEX review questions: Respiratory. What order should the nurse anticipate? Burns Management Quiz. What action by the nurse is best? A. Familial tendency toward peripheral vascular disease. (Select all that apply. Feedback. Normal because of increased blood flow through leg. A patient is presenting with chronic obstructive pulmonary disease. Match. Which intervention is appropriate for nurse to plan? A, B, C, E ~ Clients with PEs are often anxious. Drug Dosage Calculations. With peripheral arterial insufficiency, leg pain during rest can be reduced by? C ~ Each intubation attempt should not exceed 30 seconds (15 is preferable) as it causes hypoxia. Settings. While implementing this order, the nurse ensures that which of the following medications is available on the nursing unit as the antidote for Coumadin? Take a quick interactive quiz on the concepts in Pulmonary Hypertension: Diagnosis & Treatment or print the worksheet to practice offline. 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. A client has been diagnosed with a very large pulmonary embolism (PE) and has a dropping blood pressure. ), When working with women who are taking hormonal birth control, what health promotion measures should the nurse teach to prevent possible pulmonary embolism (PE)? Buerger's disease is characterized by all of the following except? 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. Sedatives and antianxiety medications are not used routinely because they can contribute to hypoxia. Diseases of the Respiratory System 2. What action by the nurse is most appropriate? A 24-year old man seeks medical attention for complaints of claudication in the arch of the foot. 4. 2. In this video I discuss pulmonary embolism! A. Arterial thrombosis formation and occlusion. His current concern is calf pain during minimal exercise that decreased with rest. 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. NCLEX nursing care for the patient with a Pulmonary Embolism (PE) everything you need to know in less than 5 minutes. Question 5. Pulmonary embolism is a common disorder that is related to deep vein thrombosis (DVT). Flashcards. A student nurse is preparing to administer enoxaparin (Lovenox) to a client. Sequential Easy First Hard First. In formulating a response, the nurse incorporates the understanding that warfarin sodium? (Parts 1 … The student nurse asks why the clients oxygen saturation has not significantly improved. What response by the nurse is best? 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. … Once a DVT has developed it could result in a pulmonary embolism (PE). A nurse is caring for five clients. A client with no known risk factors for this disorder should be referred for testing. Diabetes Mellitus Quiz. 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. 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? B ~ This platelet count is low and could indicate heparin-induced thrombocytopenia. A client who has been receiving heparin therapy also is started on warfarin sodium (coumadin). Zantac is a histamine blocking agent. Gravity. Intravenous heparin therapy is ordered for a client. Growth and Development Quiz. Pass Your NCLEX Exam! Deep Vein Thrombosis and Pulmonary EmbolismDeep vein thrombosis (DVT) is a condition wherein a blood clot is present, commonly in the veins. Included topics in this practice quiz are: 1. Included topics in this practice quiz are: 1. If identified early, it can be easily treated, if not, the end result is most often death. Pneumonia Following heparin treatment for a pulmonary embolism, a client is being discharged with a prescription for warfarin (Coumadin). 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 client is admitted with a pulmonary embolism (PE). B ~ Warfarin works by inhibiting the synthesis of vitamin K dependent clotting factors. Overview Complete pump failure causing loss of oxygenated blood flow to body. 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. B ~ Warfarin works by inhibiting the synthesis of vitamin Kdependent clotting factors. Prolonged times of partial thromboplastin time in clients with pulmonary embolism (>75 sec) indicates that the client is at risk for serious spontaneous bleeding. A client is hospitalized with a second episode of pulmonary embolism (PE). D. Vancomycin Resistant Enterococcus. d. Question 6. Guidelines. Newborn Care & Assessment. Play as. 2. Deep Vein Thrombosis (DVT) NCLEX Review. This 40-item NCLEX practice quiz can definitely help you ace the exam and reach your dreams of becoming an RN! While most DVTs happen in the legs, they can also occur in other parts of the body such as the arms or abdomen. D ~ Refractory hypoxemia is hypoxemia that persists even with the administration of 100% oxygen. >>NCLEX Review Questions — Test Yourself! A significant cause of venous thrombosis is? Using a calm, quiet voice is also reassuring. Arterial blood gases show a … The other values are normal for either gender. (Select all that apply.). It’s a type of venous thromboembolism (VTE), which is a blood clot that starts in the vein. The nurse should also have adequate sedation during the procedure and monitor the clients oxygen saturation, but these do not take priority. A client appears dyspneic, but the oxygen saturation is 97%. Stimulates breakdown of specific clotting factors by liver, takes 2-3 days for this exhibit an anticoagulant effect. What menu selection for dinner indicates the client needs more education regarding this medication? A nurse also notes superficial thrombophlebitis of the lower leg. 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. What are S/S should nurse expect to find? Questions. Which action should the nurse plan to take? The nurse interprets that the neurovascular status is? A nurse is caring for several clients. Areas that would be beneficial to know more about include risk factors for DVT and PE and information about a pulmonary embolism. A client is on mechanical ventilation and the clients spouse wonders why ranitidine (Zantac) is needed since the client only has lung problems. What action by the nurse takes priority? Emergency Nursing & Triage. NCLEX-PN Practice Questions. Pneumonia Unless the clot is dissolved, this process will continue unabated. This is a part of my playlist for respiratory disorders. B ~ Enoxaparin is given subcutaneously, so the 18-gauge, 2-inch needle is too big. The other options are not related. After heparin has been stopped, which medication should nurse prepare to administer? The patient also presented with rapid breathing, pale lips, and cold, clammy skin. The nurse should prepare to do preoperative teaching on this procedure. What medication should the nurse anticipate the client will need as the priority? Encouraging the client to walk is healthy, but is not related to the development of a PE in this case, nor is smoking. The other actions fall within the scope of practice of the nurse. The nurse noticed that breath sound is diminished on both lung bases of the patient with chronic obstructive pulmonary disease (COPD). The nurse should interrupt the intubation attempt and give the client oxygen. 1. If misdiagnosed, unrecognized, or untreated, PE can cause death quickly—within just an hour. A nurse has an order to begin administering warfarin sodium (coumadin) to a client. Recent genetic testing reveals the client has an alteration in the gene CYP2C19. Question 2. Test. (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 … Terms in this set (32) A client with renal failure is receiving epoetin alfa (Epogen) to support erythropoiesis. A nurse planning to administer IV alteplase (activase) to a client who is demonstrating manifestations of a massive PE. The heparin rate needs to be increased. What are S/S should nurse expect to find? 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. All questions are shown, but the results will only be given after you’ve finished the quiz. Spell. (select all that apply)(med-surg pg 263), A nurse is caring for a client who is to receive fibrinolytic thrombolytic therapy (tPA). Posted on 26-Feb-2020. What statement by client is an immediate concern for nurse? Quiz Flashcard. B ~ Often clients are discharged from the hospital on warfarin (Coumadin) after a PE. A nurse is caring for four clients on intravenous heparin therapy. A. When caring for a patient who has started anticoagulant therapy with warfarin (Coumadin), the nurse knows not to expect therapeutic benefits for? Heparin is usually held or decreased until the PTT drops back into therapeutic range. What response by the nurse is best? 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. The nurse would inspect the surgical site most closely for signs of? A nurse is assisting the health care provider who is intubating a client. You are given 1 minute per question, a total of 10 minutes in this quiz. DVT (deep vein thrombosis) NCLEX questions for nursing students! Start. 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. Diseases of the Respiratory System 2. (med-surg pg 263), A nurse is assessing a client who has pulmonary embolism. A nurse is assessing a client who has pulmonary embolism. The other actions are appropriate also but are not the priority. Walking several times/day as exercise program. VS: HR-117/min, RESP-38/min, TEMP-101.2F, BP-100/54mmHg. What answer by the nurse instructor is best? A nurse is teaching a client about warfarin (Coumadin). A ~ Activase is a clot-busting agent indicated in large PEs in the setting of hemodynamic instability. The nurse should explore this possibility with the client. He smokes two packs of cigarettes a day, is nervous about the possibility of being unemployed, and has difficulty coping with stress. Foods high in vitamin K thus interfere with its action and need to be eaten in moderate, consistent amounts. A vegetarian may have trouble maintaining this diet. The pedal pulse is palpable and unchanged from admission. Chronic Obstructive Pulmonary Disease(COPD) 4. In conducting discharge teaching, the nurse advises the client to have which diagnostic test monitored regularly after discharge. Avoiding alcohol and eating more foods containing omega-3 fatty acids are heart-healthy actions but do not relate to the prevention of PE. What nursing actions are most appropriate? The nurse listens for equal, bilateral breath sounds first to determine if the endotracheal tube is still correctly placed. Foods high in vitamin K thus interfere with its action and need to be eaten in moderate, consistent amounts. Test your knowledge on the lab values you need to know for NCLEX with these quiz questions for nursing students! 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. 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. The most important factor in regulating the caliber of blood vessels, which determines resistance to flow, is? Uworld NCLEX Questions PDF 2018 Free Download Section. 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