Author Question: The client states, I've never had such trouble breathing. What is a pulmonary embolus anyway? Which ... (Read 31 times)

imanialler · **on:** Jul 23, 2018

The client states, I've never had such trouble breathing. What is a pulmonary embolus anyway? Which response by the nurse is the most appropriate?

1. A pulmonary embolus is a stationary blood clot that formed in your lung.
2. An embolus is a piece of the injured blood vessel that is moving in your lung.
3. A pulmonary embolus is a portion of a blood clot that has moved from its original location to your lung.
4. A pulmonary embolus is an area of tissue in your lung that has lost its blood supply and has become necrotic.

Question 2

The nurse is addressing a group of clients who have experienced thromboembolic disorders. One of the clients states, My dad had a problem with clotting too much and so does my brother.

Before responding to this comment, the nurse considers which information?
1. A genetic deficiency of protein C can produce hypercoagulability.
2. Familial eating habits can result in deficiency of vitamin C that would increase clotting.
3. Genetic deficiency of C peptide is implicated in clotting disorders.
4. If there is a genetic tendency to decreased C reactive protein (CRP) the clotting cascade is enhanced.

paavo · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: A stationary blood clot is a thrombus.
Rationale 2: An embolus is not a portion of blood vessel.
Rationale 3: A thrombus that detaches and moves is called an embolus. Because the thrombus has moved to the lung, it is called a pulmonary embolus.
Rationale 4: An embolus is not necrotic tissue, but presence of an embolus can cause tissue to become necrotic.
Global Rationale: A thrombus that detaches and moves is called an embolus. Because the thrombus has moved to the lung, it is called a pulmonary embolus. A stationary blood clot is a thrombus. An embolus is not a portion of blood vessel. An embolus is not necrotic tissue, but presence of an embolus can cause tissue to become necrotic.

Answer to Question 2

Correct Answer: 1
Rationale 1: Protein C is a natural anticoagulant. Too little would cause increased clotting.
Rationale 2: Vitamin C is not involved in clotting.
Rationale 3: C peptide is created in the process of insulin synthesis and is not associated with clotting.
Rationale 4: Deficiency of the inflammatory protein CRP would not cause increased clotting.
Global Rationale: Protein C is a natural anticoagulant. Too little would cause increased clotting. Vitamin C is not involved in clotting. C peptide is created in the process of insulin synthesis and is not associated with clotting. Deficiency of the inflammatory protein CRP would not cause increased clotting.