The nurse is preparing to discharge a client recovering from a ...

[cnetterville]

The nurse is preparing to discharge a client recovering from a pulmonary embolism. Which topics are appropriate for the nurse to include in the teaching session?
 
  Select all that apply.
  A) Limit the use of over-the-counter medications.
  B) Diet to include green leafy vegetables
  C) Symptoms of recurrence
  D) Anticoagulant administration schedule
  E) Resume normal activity level.

Question 2

A nurse caring for a client with a pulmonary embolism expects to find which diagnostic result?
 
  A) Patchy infiltrates on chest x-ray
  B) Metabolic alkalosis on arterial blood gas
  C) Elevated CO2 level found on end-tidal carbon dioxide monitor
  D) Tachycardia and nonspecific T-wave changes on EKG

[jjorrostieta]

Answer to Question 1

Answer: C, D

The client being discharged after treatment for a pulmonary embolism needs to be instructed in anticoagulant therapy, avoiding green leafy vegetables because of vitamin K, adhering to the physician's prescribed activity level, and avoiding all over-the-counter medications. The nurse should instruct the client in symptoms of bleeding or recurrence of a pulmonary embolism and the schedule for anticoagulation administration.

Answer to Question 2

Answer: D

With pulmonary embolism, tachycardia and nonspecific T-wave changes occur on EKG. The client with a pulmonary embolism will likely have respiratory alkalosis from rapid breathing, not metabolic alkalosis. The end-tidal carbon dioxide monitor (EtCO2) will be decreased, not increased, due to rapid breathing.

[cnetterville]

Thanks for the timely response, appreciate it

[tranoy]

Gracias!