NURSING 210-Chapter 37: Nursing Management: Inflammatory and Structural Heart Disorders My Nursing Test Banks

NURSING 210-Chapter 37: Nursing Management: Inflammatory and Structural Heart Disorders My Nursing Test Banks Chapter 37: Nursing Management: Inflammatory and Structural Heart Disorders My Nursing Test Banks Lewis: Medical-Surgical Nursing, 8th Edition Chapter 37: Nursing Management: Inflammatory and Structural Heart Disorders Test Bank MULTIPLE CHOICE 1. The nurse obtains a health history from a patient with a prosthetic mitral valve who has symptoms of infective endocarditis (IE). Which question by the nurse is most appropriate? 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? ANS: A Dental procedures place the patient with a prosthetic mitral valve at risk for infective endocarditis (IE). Myocardial infarction (MI), immunizations, and a family history of endocarditis are not risk factors for IE. DIF: Cognitive Level: Application REF: 844 | 845-846 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 2. During the assessment of a patient with infective endocarditis (IE), the nurse would expect to find a . a new regurgitant murmur. b . a pruritic rash on the trunk. c . involuntary muscle movement. d . substernal chest pain and pressure. ANS: A New regurgitant murmurs occur in IE because vegetation on the valves prevents valve closure. Substernal chest discomfort, rashes, and involuntary muscle movement are clinical manifestations of other cardiac disorders such as angina and rheumatic fever. DIF: Cognitive Level: Comprehension REF: 842-843 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 3. The nurse identifies the nursing diagnosis of decreased cardiac output related to valvular insufficiency for the patient with infective endocarditis (IE) based on the assessment finding of a . fever, chills, and diaphoresis. b . urine output less than 30 mL/hr. c . petechiae of the buccal