Nokea
Which diagnostic test should the nurse expect for a client with suspected endocarditis?
- A. Blood cultures
- B. Chest X-ray
- C. Urinalysis
- D. Liver function tests
Correct Answer: A
Rationale: Blood cultures identify the causative organism in endocarditis.
You may also like to solve these questions
Which assessment finding would indicate to the nurse that the client is experiencing an arterial disorder?
- A. Leg pain that worsens with exercise
- B. Swelling in the ankles at the end of the day
- C. Dark, crusty skin on the lower legs
- D. Numbness in the feet when lying down
Correct Answer: A
Rationale: Arterial disorders, such as peripheral artery disease, often cause claudication, which is leg pain that worsens with exercise due to inadequate blood flow.
The client with endocarditis asks why they need IV antibiotics. What is the best response?
- A. They work faster than oral antibiotics.
- B. They are cheaper than oral forms.
- C. They prevent stomach upset.
- D. They are easier to take.
Correct Answer: A
Rationale: IV antibiotics achieve higher blood levels to effectively treat the infection in endocarditis.
The nurse is assessing a client with endocarditis. Which finding is most concerning?
- A. Fever of 102°F
- B. Mild fatigue
- C. Heart rate of 90 beats per minute
- D. Blood pressure of 130/85 mmHg
Correct Answer: A
Rationale: Fever is a hallmark of endocarditis and may indicate ongoing infection, requiring prompt attention.
The nurse identifies the concept of clotting for a client diagnosed with a deep vein thrombosis. Which clinical manifestations support the diagnosis?
- A. Brown-purple discoloration on the calf.
- B. Bright red skin on the lower legs.
- C. Swelling in the calf, warmth, and tenderness.
- D. Pain after walking for short distances that resolve with rest.
Correct Answer: C
Rationale: Swelling, warmth, and tenderness (C) are classic DVT signs. Brown-purple (A) is venous insufficiency, red skin (B) is nonspecific, and pain with walking (D) is arterial.
The client is diagnosed with an abdominal aortic aneurysm. Which statement would the nurse expect the client to make during the admission assessment?
- A. I have stomach pain every time I eat a big, heavy meal.'
- B. I don’t have any abdominal pain or any type of problems.'
- C. I have periodic episodes of constipation and then diarrhea.'
- D. I belch a lot, especially when I lie down after eating.'
Correct Answer: B
Rationale: Small AAAs are often asymptomatic (B). Postprandial pain (A), bowel changes (C), and belching (D) suggest GI issues, not AAA.