MEDICAL SU NUR2301 Med surg exam final Questions And Answers

Study Guide/Review for Final Exam Practice Questions for Exam 1 Endocarditis/Pericarditis The pericardium layer consists of a fibrous layer that is made up of two layers called the parietal and vi sce ral layers. a.True b.False A patient is recovering from a myocardial infarction (MI) and develops chest pain on day 3 that increases when taking a deep breath and is relieved by leaning forward. Which action should the nurse take next? a. Assess the feet for pedal edema. b. Palpate the radial pulses bilaterally. c. Auscultate for a pericardial friction rub. d. Check the heart monitor for dysrhythmias. True or False: Endocarditis only affects the atrioventricular and semi-lunar valves in the heart. False Rationale: Endocarditis can affect not only the heart valves but the interventricular septum and chordae tendineae as well. You're providing discharge teaching to a patient being treated for endocarditis. Which statement by the patient demonstrated they understood your teaching about this condition? A. "I will stop taking the antibiotics once my fever is gone in order to prevent antibiotic resistance." B. "I will only wash my hands with soap and water." C. "I will inform my dentist about my history of endocarditis prior to any invasive procedures." D. "I will avoid eating fish and organ meats." A patient being treated for infective endocarditis is complaining of very sharp radiating abdominal pain that goes to the left shoulder and back. As the nurse familiar with complications of infective endocarditis, what do you suspect is the cause of this patient finding? A. Renal embolic event B. Pulmonary embolic event C. Central nervous system embolic event D. Splenic embolic event You are providing care to a patient with pericarditis. Which of the following is NOT a proper nursing intervention for this patient? A. Monitor the patient for complications of cardiac tamponade. B. Administer Ibuprofen as scheduled. C. Place the patient in supine position to relieve pain. D. Monitor the patient for pulsus paradoxus and muffled heart sounds. A patient with severe pericarditis has developed a large pericardial effusion. The patient is symptomatic. The physician orders what type of procedure to help treat this condition? A. Pericardiectomy B. Heart catheterization C. Thoracotomy D. Pericardiocentesis A child is admitted to the pediatric unit with a diagnosis of infective endocarditis. Which of the following interventions should the healthcare provider anticipate? Select all that apply. 1. Seizure precautions 2. Contact isolation 3.Echocardiogram 4. Intravenous antibiotics 5. Blood cultures The nurse conducts a complete physical assessment on a patient admitted with infective endocarditis. Which finding is significant? a. Respiratory rate of 18 and heart rate of 90 b. Regurgitant murmur at the mitral valve area c. Heart rate of 94 and capillary refill time of 2 seconds d. Point of maximal impulse palpable in fourth intercostal space Rationale: B ---A regurgitant murmur of the aortic or mitral valves would indicate valvular disease, which is a complication of endocarditis. All the other findings are within normal limits.