A nurse is planning care for a client who has quadriplegia. Which of the following actions should the nurse take to prevent a pulmonary embolism (PE)? (Select all that apply.)
Perform passive range of motion exercises.
Place pillows under the client's knees when in bed.
Assess legs for redness.
Apply elastic compression stockings
Massage the calves every shift
Correct Answer : A,C,D
A. Perform passive range of motion exercises. Passive range of motion exercises help maintain circulation and reduce venous stasis, which is crucial for preventing pulmonary embolism in clients who are immobile.
B. Place pillows under the client's knees when in bed. Placing pillows under the knees can actually promote venous stasis and increase the risk of a pulmonary embolism. It is better to keep the legs flat to encourage circulation.
C. Assess legs for redness. Regular assessment of the legs for redness, swelling, or warmth helps in the early detection of deep vein thrombosis (DVT), which can lead to pulmonary embolism if not addressed.
D. Apply elastic compression stockings. Elastic compression stockings promote venous return from the legs to the heart and help prevent DVT, thereby reducing the risk of pulmonary embolism.
E. Massage the calves every shift. Massaging the calves can dislodge a thrombus and potentially lead to a pulmonary embolism. Instead, interventions should focus on preventing thrombus formation.
Free Nursing Test Bank
- Free Pharmacology Quiz 1
- Free Medical-Surgical Quiz 2
- Free Fundamentals Quiz 3
- Free Maternal-Newborn Quiz 4
- Free Anatomy and Physiology Quiz 5
- Free Obstetrics and Pediatrics Quiz 6
- Free Fluid and Electrolytes Quiz 7
- Free Community Health Quiz 8
- Free Promoting Health across the Lifespan Quiz 9
- Free Multidimensional Care Quiz 10
View Related questions
Correct Answer is A
Explanation
A. "This is a common side effect with albuterol and will stop soon." Nervousness and shakiness are common side effects of albuterol due to its action as a bronchodilator and stimulant.
B. "You are having an allergic reaction, and I should notify the provider." The symptoms described are not indicative of an allergic reaction but rather a common side effect of the medication.
C. "The albuterol is probably interacting with another medication." While drug interactions can occur, the reported symptoms are typical side effects of albuterol.
D. "The albuterol is not working, and you will need another medication." The symptoms do not indicate that the medication is ineffective; they are more indicative of its stimulant effects.
Correct Answer is B
Explanation
A. Danazol: Danazol is primarily used for conditions like endometriosis and is not indicated for BPH treatment.
B. Finasteride: Finasteride is a 5-alpha-reductase inhibitor that reduces the size of the prostate and is commonly prescribed for managing symptoms of BPH.
C. Fluoxymesterone: Fluoxymesterone is an anabolic steroid and is not used for treating BPH.
D. Methyltestosterone: Methyltestosterone is also an anabolic steroid and does not address the symptoms of BPH.