Nokea
After an influenza-like illness, the patient reports chills and small petechiae in his mouth and his legs. A heart murmur is detectable. These are characteristic signs of which disorder?
- A. congestive heart failure.
- B. heart block.
- C. aortic stenosis.
- D. infective endocarditis.
Correct Answer: D
Rationale: Collection of subjective data includes noting patient complaints of influenza-like symptoms with recurrent fever, undue fatigue, chest pain, and chills. Objective data may reveal the significant signs of petechiae in the conjunctiva and mouth. Both subjective data and objective data are indicative of infective endocarditis.
You may also like to solve these questions
The life support system that uses special techniques, ventilation equipment, and therapies for emergency situations is
Correct Answer: advanced cardiac life support (ACLS)
Rationale: ACLS is a life support system that uses special techniques, ventilation equipment, and therapies for emergency situations.
What is the transesophageal echocardiogram (TEE) used for?
- A. Detect thrombi before a cardioversion.
- B. Check for cardiac arrhythmias.
- C. Detect the presence of an aneurysm
- D. Measure effectiveness of diuretic therapy.
- E. Locate obstructions in the coronary artery.
Correct Answer: A,C
Rationale: The TEE is used to check for thrombi before cardioversion, and to visualize the presence of an aneurysm.
The nurse caring for a patient recovering from a myocardial infarct who is on remote telemetry recognizes the need for added instruction when the patient makes which statement?
- A. I can ambulate in the hallway with this gadget on.'
- B. I always take off the telemetry device when I shower.'
- C. My EKG is being watched by one of the nurses in CCU on the home unit.'
- D. I am able to sleep just fine with this device on.'
Correct Answer: B
Rationale: Remote telemetry allows the patient to be on a separate unit, but be monitored in a central location. The patients can be ambulatory and can sleep with the monitor on. They should not remove the monitor to shower.
The nurse reminds the patient who is taking warfarin for the treatment of peripheral artery disease not to eat excessive green and yellow vegetables for which reason?
- A. Potassium in the vegetables can cause additional bleeding
- B. Green and yellow vegetables cause loose bowel movements
- C. Vitamin $\mathrm{K}$ in the vegetables counteracts the anticoagulant effect
- D. Potassium in the vegetables can cause hyperkalemia to develop
Correct Answer: C
Rationale: The patient taking warfarin should not eat excessive amounts of vitamin $\mathrm{K}$ containing foods, such as green and yellow vegetables. Vitamin $\mathrm{K}$ counteracts the anticoagulant effect, and blood clots could develop.
The cardiac marker rises 3 hours after a myocardial infarct and measures myocardial contractile protein.
Correct Answer: troponin I
Rationale: Troponin I is a serum cardiac marker that rises 3 hours after an MI and can measure myocardial contractile tissue. Troponin I is not affected by skeletal muscle injury as is troponin T.