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A nurse is caring for a client diagnosed with infective endocarditis. The nurse is aware that which of the following is the priority assessment finding for this patient?

Anorexia

Fever

Dyspnea

Malaise

Answer and Explanation

The Correct Answer is B

Rationale:

A. Anorexia is a common symptom of infective endocarditis but is not typically the priority assessment finding.

B. Fever is a hallmark sign of infective endocarditis and should be monitored closely.

C. Dyspnea is a common symptom of infective endocarditis but is not typically the priority assessment finding.

D. Malaise is a common symptom of infective endocarditis but is not typically the priority assessment finding.

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Correct Answer is A

Explanation

Rationale:

A. Swelling at the insertion site and cool extremity may indicate bleeding or hematoma formation at the site.

B. Oozing blood from the insertion site is expected immediately after a cardiac catheterization.

C. The client has not voided since returning to recovery is not related to the cardiac catheterization.

D. Blood pressure reading of 110/70 and heart rate of 90 are within normal limits.

A. Alteplase (fibrinolytics) B. IV Nitroglycerine C. Metoprolol (beta blockers) D. IV Heparin

Correct Answer is B

Explanation

Rationale:

A. Alteplase (fibrinolytics) is used to dissolve clots in coronary arteries during an acute myocardial infarction (AMI).

B. IV Nitroglycerine is a vasodilator that dilates coronary blood vessels, increasing blood flow to the myocardium.

C. Metoprolol (beta blockers) are used to decrease heart rate, blood pressure, and myocardial oxygen demand.

D. IV Heparin is used to prevent further clot formation in coronary arteries during an acute myocardial infarction (AMI).

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A nurse is caring for a client diagnosed with infective endocarditis. The nurse is aware that which of the following is the priority assessment finding for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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