Pulmonary Embolism Case Question & Answer Guide (With Explanation)

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to pulmonary embolism case and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves pulmonary embolism case. A strong answer should include explanation, application, and examples.

Original Question

Pulmonary Embolism Case Study Patient chart: Mrs Mary C Orders: Diet: 2 gm Na Age: 74 Activity: OOB-CHR DOB: 5/15/39 Meds: Atenolol 50 mg po once per day Height: 5’3″ Ibuprofen 400mg Q6 hours prn for pain Weight: 87.2 kg Blood work: CBC, PT/PTT in am Medical Diagnosis: Right Hip Fracture Surgical Procedure: Right hip internal fixation Medical History: HTN, osteoarthritis, chronic atrial fibrillation, smoking Two days post surgery, Mrs. C calls for the RN complaining of SOB and chest pain. She states, “I feel like I am going to die.” An assessment of Mrs. C reveals crackles, diaphoresis, and the following vital signs: BP 88/56, HR 116, RR 28 T 100.40 F O2 sat 87%. The nurse suspects Pulmonary Embolism and notifies the Rapid Response Team. Which factors lead the nurse to suspect pulmonary embolism? What diagnostic tests would the nurse expect the doctor to order? What nursing interventions should the nurse carry out while awaiting the rapid response team? The rapid response team arrives and orders a stat ABG, chest X-Ray and V/Q scan for this patient. ABG results: PH 7.52 PaCO2 28 PaO2 71 HCO3 24 What is the interpretation of these ABG results? The chest x-ray is negative, ventilation perfusion scan performed reveals perfusion defects of the anterior and posterior segments of the left upper lobe. Ventilation is normal, and a pulmonary embolus (PE) is suspected. What medication(s) would you expect the doctor to order and why? Five days later, Mrs. C’s pulmonary embolism is resolved and she is discharged to a rehabilitation facility on Warfarin 4 mg po once per day. INR to be drawn by rehab facility q 1week. What should the nurse include in the discharge education plan?

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