Advanced Med Surg Exam 3

Advanced Med Surg Exam 3 Question 1 1 / 1 pts A woman fractured her left tibia and fibula one week ago and has a cast in place. She is taking acetaminophen (Tylenol) with codeine for pain and an oral contraceptive. She began experiencing left calf pain 3 days ago and began having shortness of breath and chest pain 15 minutes ago. When the shortness of breath and chest pain increase, she calls the emergency department and communicates this information to the triage nurse. What is the triage nurse's best response? "Give me your name and address. I am sending an ambulance to your home. You need emergency care." "It sounds as if your cast may be constricting the blood flow in your leg. You probably need a new cast." "It sounds like you are having an allergic response to the medication. Is there someone there who can drive you to the hospital?" "You are experiencing an interaction between your pain and oral contraceptive medications. You need to come to the emergency department now for care." The client's clinical manifestations, along with the history of a recent fracture, immobilization, and use of an oral contraceptive, suggest a pulmonary embolism. This is an emergency and this patient needs emergent/rapid response care. An ambulance will limit the woman's use of her leg, which may prevent further emboli. The client's clinical findings are not indicative of compression syndrome. Tingling, numbness, cool skin, and lack of capillary refill are signs and symptoms of compression syndrome. The clinical manifestations do not support an allergic reaction. An allergic response may cause shortness of breath, but it does not cause calf pain. The client may be experiencing a pulmonary embolism, not an interaction between the two medications.