Vernon Watkins post-simulation quiz
Which of the following subjective and objective assessment findings in this case would lead the
nurse to suspect Mr. Watkins is at risk for a pulmonary embolism? (Select all that apply.)
Pain in the leg,
Reluctance to ambulate
In this scenario, after Mr. Watkins complains of breathing difficulty, the provider orders an arterial
blood gas. The blood gas results are as follows: pH 7.50, HCO3 22, PaCO2 25, PaO2 66. The
arterial blood gas analysis in this case is Choose Answer.., most likely secondary to Choose
Answer.., due to Choose Answer...
respiratory alkalosis, hyperventilation, hypoxemia
The CT scan results have confirmed that Mr. Watkins has a pulmonary embolism (PE). The
client's vital signs are BP 136/73, HR 84, RR 22, SpO2 91%. The nurse has received orders
from the provider. Which of the following orders should the nurse do first? (Select all that apply.)
Heparin 80U/kg IV bolus,
Heparin drip, 18U/kg/hr, Oxygen to maintain SpO2 > 92%
The nurse knows that the most common cause of a pulmonary embolus is
Choose Answer.. secondary to Choose Answer.., which could be prevented by Choose
Answer...
a thrombus, immobility, applying compression stockings
Mr. Watkins has been started on a heparin drip. The nurse knows that the care of the client
diagnosed with a PE on a heparin drip includes which of the following? (Select all that apply.)
Have IV protamine sulfate available.,
Monitor PTT or aPTT., Monitor for thrombocytopenia., Monitor urine analysis.
Mr. Watkins will be discharged on warfarin. The nurse knows that Mr. Watkins has understood
the discharge instructions if he states which the following? (Select all that apply.)
'If the blood levels become too high, the doctor can order oral vitamin K to reverse the effects of
warfarin.',
'While in the hospital, I will be on both heparin and warfarin for a few days before I am
discharged.'
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