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Nursing Management: Inflammatory and Structural Heart Disorders

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Lewis's Medical Surgical Nursing in Canada, 5th Edition
Nursing Management: Inflammatory and Structural Heart Disorders

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Question 1 of 5

The nurse is obtaining a health history from a patient with a prosthetic mitral valve who has symptoms of infective endocarditis (IE). Which of the following questions by the nurse is best?

A. Have you been to the dentist lately?

B. Do you have a history of a heart attack?

C. Is there a family history of endocarditis?

D. Have you had any recent immunizations?

Correct Answer:

Rationale:

Question 2 of 5

The nurse is assessing a patient with infective endocarditis (IE). Which of the following findings should the nurse expect to assess?

A. A new regurgitant murmur

B. A pruritic rash on the trunk

C. Involuntary muscle movement

D. Substernal chest pain and pressure

Correct Answer:

Rationale:

Question 3 of 5

The nurse identifies the nursing diagnosis of decreased cardiac output related to valvular insufficiency for the patient with infective endocarditis (IE). Which of the following findings support this diagnosis?

A. Fever, chills, and diaphoresis

B. Urine output less than 30 ml/hour

C. Petechiae of the buccal mucosa and conjunctiva

D. Increase in pulse rate of 15 beats/minute with activity

Correct Answer:

Rationale:

Question 4 of 5

The nurse is planning care for a patient hospitalized with a streptococcal infective endocarditis (IE). Which of the following interventions should the nurse anticipate?

A. Monitor laboratories for streptococcal antibodies.

B. Arrange for insertion of a long-term IV catheter.

C. Encourage the patient to get regular aerobic exercise.

D. Teach the importance of completing all oral antibiotics.

Correct Answer:

Rationale:

Question 5 of 5

The nurse is admitting a patient with possible acute pericarditis. Which of the following diagnostic assessments should the nurse plan to teach the patient about?

A. Electrolyte levels

B. Echocardiography

C. Daily blood cultures

D. Cardiac catheterization

Correct Answer:

Rationale:

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