A 36-year-old obese male is one day post-gastroplasty. He has a sudden onset of restlessness, dyspnea, and chest pain. His heart rate is 122/min., and auscultation of heart sound reveals an increased intensity of a pulmonary S2. The nurse should expect which of the following to confirm the patient's diagnosis?
  1. chest x-ray and arterial blood gases
  2. pulmonary radioisotope scan
  3. blood enzyme studies
  4. pulmonary artery pressures
Explanation
Answer: B - For a patient who has undergone gastroplasty and is experiencing sudden onset of restlessness, dyspnea and chest pain including high heard rate, the nurse should expect pulmonary radioisotope scan to confirm patient’s diagnosis. A pulmonary radioisotope scan uses inhaled and injected radioactive material (radioisotopes) to measure breathing (ventilation) and circulation (perfusion) in all areas of the lungs.
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