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vSIM Vernon Watkins - Post-op Hemicolectomy: Pulmonary Embolism / Surgical Case 4: Vernon Watkins Documentation Assignments (answered)$8.99
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vSim - Surgical 4: Vernon Watkins PRE-POST Quizzes
1. PRE True
Is the following statement true or false?
A pulmonary embolism requires emer- Rationale:A pulmonary embolism
gency treatment. (PE) is considered a medical
FALSE emergency, as death can occur
TRUE within one hour if not treated
promptly.
2. PRE PTT or aPTT
When caring for a patient experienc-
ing a pulmonary embolism, the nurse Rationale:Heparin will increase
would expect to see increased levels in partial thromboplastin time (PTT)
which of the following lab test results or activated partial thromboplastin
due to the effects of heparin? time (aPTT) levels, which are test-
Lipase and amylase ed to measure therapeutic levels
Potassium and chloride of heparin
PTT or aPTT
Calcium and magnesium
3. PRE 1
The nurse knows that death from an
acute pulmonary embolism commonly Rationale:Death for acute pul-
occurs within how many hours after the monary embolism (PE) commonly
onset of symptoms? occurs within one hour after onset
12 of symptoms.
4
24
1
4. PRE It prevents conversion of fibrino-
The nurse understands that heparin gen to fibrin.
acts in which of the following ways?
It prevents conversion of fibrinogen to Rationale:Heparin accelerates for-
fibrin. mation of antithrombin III-thrombin
It activates thrombin and decreases complex and deactivates throm-
formation of antithrombin III. bin, preventing conversion of fib-
It prevents platelets from aggregating. rinogen to fibrin.
It is a thrombolytic.
1/8
, vSim - Surgical 4: Vernon Watkins PRE-POST Quizzes
5. PRE Hot dry skin
Which of the following nursing assess- Bradycardia
ment findings are excluded for a pul- Gradual onset chest pain
monary embolism? (Select all that ap-
ply.) Rationale:Signs and symptoms of
Diaphoresis pulmonary embolism (PE) can
Sudden chest pain include dyspnea, sudden chest
Hot dry skin pain, anxiety, fever, tachycardia,
Tachycardia hemoptysis, and diaphoresis.
Bradycardia
Dyspnea
Gradual onset chest pain
6. PRE Decrease preload
Morphine is administered by the nurse Decrease anxiety
in the patient experiencing pulmonary Decrease pain
embolism in order to accomplish which
of the following? (Select all that apply.) Rationale:Small doses of IV mor-
Decrease afterload phine are administered to relieve
Improve oxygenation the patient's pain and ease adap-
Decrease preload tion to mechanical ventilation, if
Decrease anxiety needed, which may also assist in
Decrease pain reducing anxiety. Morphine also
decreases preload due to its ve-
nous vasodilation effects.
7. PRE Monitor the respiratory rate and
What measure would the nurse take depth closely
after interpreting the following arterial
blood gas (ABG) results for a postop- Rationale:The ABG reveals an un-
erative patient on a 40% oxygen face compensated respiratory acidosis.
mask? pH 7.34 PaCO2 46 mm Hg HCO3 The PaCO2 is slightly elevated.
26 mEq/L PaO2 86 mm Hg CO2 retention can result from
Monitor the respiratory rate and depth a decreased respiratory rate or
closely depth. The PaO2 is within normal
Prepare for endotracheal intubation limits, so an increase in oxygen is
Increase the percentage of oxygen not needed. The provider should
Notify the provider STAT be notified of the ABG results, but
2/8
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