When working with women who are taking hormonal birth control, ...

[abern]

When working with women who are taking hormonal birth control, what health promotion measures should the nurse teach to prevent possible pulmonary embolism (PE)? (Select all that apply.)
 
  a. Avoid drinking alcohol.
  b. Eat more omega-3 fatty acids.
  c. Exercise on a regular basis.
  d. Maintain a healthy weight.
  e. Stop smoking cigarettes.

Question 2

A client with a new pulmonary embolism (PE) is anxious. What nursing actions are most appropriate? (Select all that apply.)
 
  a. Acknowledge the frightening nature of the illness.
  b. Delegate a back rub to the unlicensed assistive personnel (UAP).
  c. Give simple explanations of what is happening.
  d. Request a prescription for antianxiety medication.
  e. Stay with the client and speak in a quiet, calm voice.

[chreslie]

Answer to Question 1

ANS: 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. Avoiding alcohol and eating more foods containing omega-3 fatty acids are heart-healthy actions but do not relate to the prevention of PE.

Answer to Question 2

ANS: A, B, C, E
Clients with PEs are often anxious. The nurse can acknowledge the client's fears, delegate comfort measures, give simple explanations the client will understand, and stay with the client. Using a calm, quiet voice is also reassuring. Sedatives and antianxiety medications are not used routinely because they can contribute to hypoxia. If the client's anxiety is interfering with diagnostic testing or treatment, they can be used, but there is no evidence that this is the case.

[abern]

Excellent

[JCABRERA33]

TYSM