Author Question: The nurse has instructed a client recovering from a pulmonary embolism on long-term anticoagulant ... (Read 45 times)

B · **on:** Jun 25, 2018

The nurse has instructed a client recovering from a pulmonary embolism on long-term anticoagulant therapy. Which client statement indicates that instruction has been effective?

A) I will expect bloody sputum when I brush my teeth.
B) I need to use a soft toothbrush and an electric razor, and avoid injuries.
C) I need to eat a well-balanced diet with green salads.
D) I can expect to be bruised, since this is normal.

Question 2

The nurse is planning care for a client with a pulmonary embolism. Which intervention would assist with the client's decrease in cardiac output?

A) Provide oxygen.
B) Keep protamine sulfate at the bedside.
C) Monitor pulmonary arterial pressures.
D) Assess for bleeding.

ansleighelindsey · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B

Instruction on anticoagulant therapy should include the need to avoid injury, use a soft toothbrush, and use an electric razor. The client should be instructed to obtain a Medic-Alert bracelet that identifies anticoagulant therapy. The client should avoid green salads because of the vitamin K content. The statements about bruising being normal and expecting bloody sputum mean the client is in need of additional instruction on anticoagulant therapy.

Answer to Question 2

Answer: C

The client with a pulmonary embolism and decreased cardiac output is at risk for developing right heart failure. The nurse should monitor pulmonary arterial pressures. Assessing for bleeding and keeping protamine sulfate at the bedside would be appropriate for the client with ineffective protection. Oxygen would be appropriate for the client with impaired gas exchange.