Pulmonary Embolism Stokke N180

8 Questions | Total Attempts: 894

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Pulmonary Quizzes & Trivia

This is based on my N180 notes. The usual disclaimer applies. . .


Questions and Answers
  • 1. 
    A pulmonary embolism is ______________________________.
    • A. 

      A clot from somewhere else that is lodged in the lungs obstructing blood flow through pulmonary vasculature.

    • B. 

      A clot that formed in the lung that obstructs pulmonary vasculature.

    • C. 

      A clot of any origin (inside or outside the lung) that lodges in the lung obstructing pulmonary vasculature.

  • 2. 
    An imbalance between the supply of blood and the supply of air to the lungs is called ____________________.
    • A. 

      Serum-oxygen imbalance

    • B. 

      Hematoperfusion imbalance

    • C. 

      Ventilation-perfusion mismatch

  • 3. 
    Signs and symptoms of a pulmonary embolism depend on ________________.
    • A. 

      Size and location of clot.

    • B. 

      Amount of blood that can flow around clot.

    • C. 

      Patient's pulmonary health prior to the pulmonary embolism.

  • 4. 
    The most common site of origination of pulmonary embolisms (PE) is/are __________________.
    • A. 

      Deep veins of lower extremeties (LE).

    • B. 

      Pelvis

    • C. 

      Right atrium

    • D. 

      Both a and b

    • E. 

      Both a and c

    • F. 

      Both b and c

    • G. 

      All of the above

  • 5. 
    CHECK ALL THAT APPLY: Risk factors for PE include which of the following?
    • A. 

      Advanced age

    • B. 

      Young age

    • C. 

      Contraceptive use

    • D. 

      Trauma to blood vessels

    • E. 

      Underweight

    • F. 

      Obesity

    • G. 

      Surgery

    • H. 

      Hypercoagulability

    • I. 

      Recent respiratory infection

    • J. 

      Chronic respiratory disease

    • K. 

      Immobility

  • 6. 
    CHECK ALL THAT APPLY: Which of the following are possible signs and symptoms of a PE?
    • A. 

      Restlessness

    • B. 

      Cyanosis

    • C. 

      Tachypnia

    • D. 

      Tachycardia

    • E. 

      Decreased BP

    • F. 

      Decreased SpO2

    • G. 

      Chest pain (dull, achy)

    • H. 

      Chest pain (sharp, stabbing)

    • I. 

      Chest pain (hollow, pressure)

    • J. 

      Hemoptysis

    • K. 

      JVD

    • L. 

      Mental status changes

    • M. 

      Dyspnea

    • N. 

      Decreased heart rate

    • O. 

      Increased heart rate

    • P. 

      Decreased temp

    • Q. 

      Increased temp

    • R. 

      Sense of impending doom

    • S. 

      Anxiety

  • 7. 
    CHECK ALL THAT APPLY: Which of the following are appropriate interventions for a PE?
    • A. 

      O2 (ventilator if necessary)

    • B. 

      Heparin drip

    • C. 

      Cough and Deep Breath

    • D. 

      Vena Cava filter

    • E. 

      Massage

    • F. 

      Elevate LE

    • G. 

      Embolectomy

    • H. 

      Monitor SpO2

    • I. 

      Position in High Fowler's

    • J. 

      Monitor PT and PTT

    • K. 

      Monitor INR and D-dimer

    • L. 

      Monitor for bleeding and injuries (if on a thromboembolytic)

  • 8. 
    Hemoptysis is ________________________.
    • A. 

      Coughing up blood

    • B. 

      Bloody sinus secretions

    • C. 

      Vomiting blood