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VSIM Vernon Watkins - Post-op Hemicolectomy: Pulmonary Embolism / Surgical Case 4: Vernon Watkins Documentation Assignments With well Complete Answers

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Uploaded on October 5, 2024
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which of the following diagnostic tools can the nu
which of the following nursing assessment findings
the nurse understands that heparin acts in which o
the nurse knows that death from an acute pulmon

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VSIM Vernon Watkins - Post-op Hemicolectomy: Pulmonary
Embolism / Surgical Case 4: Vernon Watkins
Documentation Assignments With well Complete Answers
Which of the following diagnostic tools can the nurse expect to be used when
a pulmonary embolism is suspected? (Select all that apply.) pg. 615 - Correct
Answer>>- Chest x-ray
- Arterial blood gas
- Ventilation-perfusion scan
- Electrocardiogram

Rationale: The provider can order a pulse oximetry, chest x-ray,
electrocardiogram (ECG), arterial blood gas (ABG), and ventilation-perfusion
(V/Q) scan to confirm the presence of pulmonary embolism (PE) when the
symptoms warrant.

Which of the following nursing assessment findings are excluded for a
pulmonary embolism? (Select all that apply.) pg. 615 - Correct Answer>>-
Gradual onset chest pain
- Bradycardia
- Hot dry skin

Rationale: Signs and symptoms of pulmonary embolism (PE) can include
dyspnea, sudden chest pain, anxiety, fever, tachycardia, hemoptysis, and
diaphoresis.

What measure would the nurse take after interpreting the following arterial
blood gas (ABG) results for a postoperative patient on a 40% oxygen face
mask? pH 7.34 PaCO2 46 mm Hg HCO3 26 mEq/L PaO2 86 mm Hg pg. 286-
287 - Correct Answer>>Monitor the respiratory rate and depth closely

Rationale: The ABG reveals an uncompensated respiratory acidosis. The
PaCO2 is slightly elevated. CO2 retention can result from a decreased
respiratory rate or depth. The PaO2 is within normal limits, so an increase in

, oxygen is not needed. The provider should be notified of the ABG results, but
it is not an emergency or requiring intubation.

The nurse understands that heparin acts in which of the following ways? -
Correct Answer>>It prevents conversion of fibrinogen to fibrin.

Rationale: Heparin accelerates formation of antithrombin III-thrombin
complex and deactivates thrombin, preventing conversion of fibrinogen to
fibrin.

The nurse knows that death from an acute pulmonary embolism commonly
occurs within how many hours after the onset of symptoms? pg. 616 -
Correct Answer>>1

Rationale: Death for acute pulmonary embolism (PE) commonly occurs within
one hour after onset of symptoms.

When caring for a patient experiencing a pulmonary embolism, the nurse
would expect to see increased levels in which of the following lab test results
due to the effects of heparin? - Correct Answer>>PTT or aPTT

Rationale: Heparin will increase partial thromboplastin time (PTT) or
activated partial thromboplastin time (aPTT) levels, which are tested to
measure therapeutic levels of heparin

Morphine is administered by the nurse in the patient experiencing pulmonary
embolism in order to accomplish which of the following? (Select all that
apply.) pg. 616 - Correct Answer>>- Decrease anxiety
- Decrease pain
- Decrease preload

Rationale: Small doses of IV morphine are administered to relieve the
patient's pain and ease adaption to mechanical ventilation, if needed, which

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Exam (elaborations)

VSIM Vernon Watkins - Post-op Hemicolectomy: Pulmonary Embolism / Surgical Case 4: Vernon Watkins Documentation Assignments With well Complete Answers

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