Respiratory Quiz- EVOLVE EXAM 2025 QUESTIONS AND CORRECT ANSWER In which order will the nurse perform these prescribed actions for a client who is in the emergency department with sudden onset of dyspnea and possible pulmonary embolism? 1. Administer unfractionated heparin. 2. Obtain blood for coagulation studies. 3. Place client on cardiac monitor. 4. Check oxygen saturation using pulse oximetry. 5. Administer oxygen to keep saturation higher than 93%. - answer>>>ANS: 4, 5, 3, 2, 1, Rationale: The initial action for a client with dyspnea and chest pain will be obtain a baseline oxygen saturation and then start oxygen administration. Because dysrhythmias can occur because of hypoxemia secondary to pulmonary embolus, the nurse will start cardiac monitoring. Rapid administration of anticoagulants is needed, but baseline coagulation studies are needed prior to starting anticoagulation. Which finding would be of most concern when the nurse is assessing a client with pulmonary embolism diagnosis who is receiving intravenous heparin? A. Client reports stools are black B. Oxygen saturation is 93%. C. Respiratory rate is 25 breaths per minute. D. Client has an ecchymosis on the ankle. - answer>>>ANS: A Rationale: Because anticoagulaten use increases the risk for gastrointestinal bleeding, the nurse would report