The nurse is planning care for a newly admitted client diagnosed ...

[cnetterville]

The nurse is planning care for a newly admitted client diagnosed with pulmonary embolism. The nurse anticipates the client will need anticoagulant therapy. What is true regarding this therapy for the treatment of this condition?
 
  A) It is considered second-line treatment.
  B) Major hemorrhage is common.
  C) Heparin and warfarin (Coumadin) are usually initiated at the same time.
  D) Heparin alters the synthesis of vitamin K-dependent clotting factors, preventing further clots.

Question 2

The nruse is providing care to several clients on a medical-surgical unit. Which client is at highest risk for a nonthrombotic pulmonary embolism?
 
  A) The client who is receiving intravenous pain medication.
  B) The client who is postoperative from a femur fracture repair.
  C) The client with a primary lung tumor.
  D) The client who uses intravenous illicit drugs.

[ilianabrrr]

Answer to Question 1

Answer: C

Heparin and warfarin are usually initiated at the same time for the treatment of pulmonary embolus. Anticoagulant therapy is the standard first-line treatment of pulmonary embolism. While major hemorrhage is uncommon, bleeding may occur. Warfarin, not heparin, alters the synthesis of vitamin K-dependent clotting factors.

Answer to Question 2

Answer: B

Fat emboli are the most common nonthrombotic pulmonary emboli. A fat embolism usually occurs after fracture of long bone (typically the femur) releases bone marrow fat into the circulation. The other clients may be at risk for pulmonary embolism; however, they are incorrect choices for the most common cause of nonthrombotic pulmonary emboli.

[cnetterville]

Correct answers!

[ilianabrrr]

Great! Please up vote