Nokea
Which of the following would be an expected finding in a client with infective endocarditis (IE)? Select all that apply.
- A. Fever
- B. Night sweats
- C. Osler nodes
- D. Cardiac murmur
- E. Syncope
- F. Weight loss
Correct Answer: A,B,C,D,F
Rationale: Fever is common due to infection. Night sweats are a systemic symptom of IE. C: Correct - Osler nodes are painful nodules associated with IE. D: Correct - Cardiac murmur results from valve involvement. E: Incorrect - Syncope is not a hallmark of IE. F: Correct - Weight loss occurs due to chronic infection.
You may also like to solve these questions
The nurse cares for a client with a complete (3rd-degree) heart block and hypotension. The nurse should take which appropriate action?
- A. prepare the client for temporary transcutaneous pacing
- B. obtain a prescription for an esmolol infusion
- C. begin chest compressions
- D. instruct the client to perform the Valsalva maneuver
Correct Answer: A
Rationale: Complete heart block with hypotension requires urgent pacing to restore adequate heart rate and cardiac output.
The nurse has performed a cardiovascular assessment on a client, and while auscultating heart tones, the nurse auscultates a harsh blowing sound. The nurse should document this finding as a
- A. pericardial friction rub.
- B. heart murmur.
- C. normal lub-dub sounds.
- D. S3 heart sound.
Correct Answer: B
Rationale: A harsh blowing sound indicates a heart murmur, caused by turbulent blood flow, often due to valve dysfunction.
The following scenario applies to the next 6 items
The client is a 72-year-old male who presents to the emergency department with increasing
shortness of breath over the past two days that gets worse when he is lying flat in bed at night.
Item 1 of 6
History And Physical Nurses' Notes Flow Sheet
0700: The client is a 72-year-old male who presents to the emergency department with increasing shortness of breath over the past two days that gets worse when he is lying flat in bed at night. He states, "I feel like I can't catch my breath," and he had to sleep in a recliner. He reports a 4 lb weight gain over the last week and increasing fatigue. The client is alert and oriented but is using his accessory muscles to breathe. He reports feeling short of breath, orthopnea, and paroxysmal nocturnal dyspnea. He has bilateral pedal edema (+2), bilateral crackles heard upon auscultation, and jugular vein distention noted on his assessment. The
the client has a medical history of hypertension, coronary artery disease, and a prior myocardial infarction. He was diagnosed with heart failure with reduced ejection fraction (HFrEF) two years ago. Current home medications include lisinopril, metoprolol succinate, furosemide, and atorvastatin.
The client reporting …………… and …………….would indicate improvement in their condition.
- A. Ambulation tolerance
- B. Edema after activity
- C. Weight loss
- D. Sleeping in bed
- E. High sodium intake
Correct Answer: A,D
Rationale: A: Improved ambulation tolerance indicates better functional capacity. D: Sleeping in bed (without orthopnea) suggests reduced pulmonary congestion. B, C, E: Edema, weight loss, and high sodium intake do not necessarily indicate improvement.
The following scenario applies to the next 6 items
The client is a 72-year-old male who presents to the emergency department with increasing
shortness of breath over the past two days that gets worse when he is lying flat in bed at night.
Item 1 of 6
History And Physical Nurses' Notes Flow Sheet
0700: The client is a 72-year-old male who presents to the emergency department with increasing shortness of breath over the past two days that gets worse when he is lying flat in bed at night. He states, "I feel like I can't catch my breath," and he had to sleep in a recliner. He reports a 4 lb weight gain over the last week and increasing fatigue. The client is alert and oriented but is using his accessory muscles to breathe. He reports feeling short of breath, orthopnea, and paroxysmal nocturnal dyspnea. He has bilateral pedal edema (+2), bilateral crackles heard upon auscultation, and jugular vein distention noted on his assessment. The
the client has a medical history of hypertension, coronary artery disease, and a prior myocardial infarction. He was diagnosed with heart failure with reduced ejection fraction (HFrEF) two years ago. Current home medications include lisinopril, metoprolol succinate, furosemide, and atorvastatin.
The nurse knows that the priority concept associated with the client's condition is ………….caused by a reduction in…………
- A. Oxygenation
- B. Perfusion
- C. Gas exchange
- D. Cardiac output
- E. Hemoglobin concentration
- F. Fluid balance
Correct Answer: B,D
Rationale: Heart failure is primarily a condition of reduced perfusion (B) due to decreased cardiac output (D), impairing the heart's ability to pump blood effectively.
The nurse is watching the monitor of a client wearing a continuous cardiac monitor when it begins to alarm and fails to display any QRS complexes. Which nursing intervention should the nurse do first?
- A. Press record on the electrocardiogram
- B. Check the client's lead placement
- C. Call the code team
- D. Contact the health care provider
Correct Answer: B
Rationale: Absent QRS complexes may result from loose or disconnected leads, so checking lead placement is the first step.