Inflammatory Heart Practice Questions and Answers

The nurse completes a nursing history with a patient with infective endocarditis. A significant finding that constitutes a risk factor for infective endocarditis is: a. A recent myocardial infarction b. Recent cardiac catheterization c. Hypertension d. Recent streptococcal pharyngitis b. Recent cardiac catheterization While caring for a patient who has acute pericarditis, the nurse suspects the development of cardiac tamponade based on which assessment finding? a. A pulsus paradoxus of 8 mmHg b. Jugular vein distention c. Increased systolic blood pressure with widening pulse pressure d. Hiccoughs and hoarseness b. Jugular vein distention 00:40 00:53 The nurse has identified a nursing diagnosis of pain related to inflammatory process for a patient who has acute pericarditis. Which nursing intervention planned by the nurse is most appropriate for this problem? a. Force fluids to 3000 mL/day to decrease fever and inflammation b. Teach the patient to take shallow, rapid respirations to control the pain c. Position the patient in Fowler's position, leaning forward on a padded overbed table d. Consult with the physician to provide intravenous narcotic analgesics for pain control c. Position the patient in Fowler's position, leaning forward on a padded overbed table A patient is hospitalized for treatment of infective endocarditis with intravenous antibiotics. The nurse's knowledge of the course of this illness provides the basis for identification of which nursing diagnosis? a¶ Risk for impaired mobility related to prolonged bed rest b¶ Risk for fluid volume deficit related to prolonged fever c¶ Risk for diversional activity deficit related to long-term hospitalization d¶ Risk for altered health maintenance related to complexity of medical and dietary regimen c¶ Risk for diversional activity deficit related to long-term hospitalization A patient admitted for infective endocarditis has developed sharp left flank pain and hematuria. The nurse notifies the physician, recognizing that these symptoms may indicate: a. Colonization of the microorganisms in the kidneys b. Vegetative embolization to the kidneys c. Septicemia resulting in decreased glomerular blood flow d. Hemolysis of red blood cells by hemolytic microorganisms b. Vegetative embolization to the kidneys assessment of an IV cocaine user with infective endocarditis should focus on which signs and symptoms (select all that apply) a. retinal hemorrhages b. splinter hemorrhages c. presence of osler's nodes d. painless nodules over bony prominences e. painless erythematous macules on palms and soles a. retinal hemorrhages b. splinter hemorrhages c. presence of osler's nodes e. painless erythematous macules on palms and soles the nurse is caring for a patient with chronic constrictive pericarditis. which assessment finding reflects a more serious complication of this condition? a. fatigue b. peripheral edema c. jugular venous distention d. thickened pericardium on ECG c. jugular venous distention a patient is admitted with myocarditis. while performing the initial assessment, the nurse may find which clinical signs and symptoms (select all that apply)? a. angina itic chest pain c. splinter hemorrhages d. pericardial friction rub e. presence of osler's nodes a. angina itic chest pain d. pericardial friction rub osler nodes and splinter hemorrhages with infective endocarditis priority nursing management for a patient with myocarditis includes interventions related to? a. meticulous skin care b. antibiotic prophylaxis c. tight glycemic control d. oxygenation and ventilation d. oxygenation and ventilation inflammation doesnt mean infection when teaching a patient about the long term consequences of rheumatic fever, the nurse should discuss the possibility of? a. valvular heart disease b. pulmonary hypertension c. superior vena cava syndrome d. hypertrophy of RV a. valvular heart disease which is a priority nursing intervention for a patient during the acute phase of rheumatic fever? a. administration of antibiotics as ordered b. management of pain with opioid analgesics c. encouragment of fluid intake for hydration d. performance of frequent active rom exercises a. administration of antibiotics as ordered which clinical finding would most likely indicate decrease CO in a patient with aortic regurgitation? a. reduction in peripheral edema and weight b. carotid venous distension and new onset a fib c. significant pulsus paradoxus and diminshed peripheral pulses d. SOB on minimal exertion and a diastolic murmur d. SOB on minimal exertion and a diastolic murmur