A nurse is caring for a client who has infective endocarditis. Which of the following manifestations is the priority for the nurse to monitor for?

Fever

Dyspnea

Anorexia

Malaise

Answer and Explanation

The Correct Answer is B

A.   Fever is a common manifestation of infective endocarditis and often indicates an ongoing infection or systemic inflammatory response. While it is important to monitor fever as it can signal worsening infection or treatment response, it is not necessarily the highest priority when compared to other potentially life-threatening complications.

B.   Dyspnea, or difficulty breathing, is a critical manifestation to monitor in a patient with infective endocarditis. This symptom may indicate the presence of heart failure or pulmonary embolism, which can result from the infection.
C.   Anorexia, or loss of appetite, is a common but less urgent symptom associated with various infections, including infective endocarditis. While it can affect the patient's nutritional status and overall well-being, it is not usually the most immediate or life-threatening concern compared to more acute manifestations like dyspnea.
D.   Malaise, or a general feeling of discomfort or unease, is a common symptom of many infections, including infective endocarditis. While it reflects the patient's overall state of health and can be distressing, it is generally less critical than symptoms indicating acute or severe complications, such as dyspnea.

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Correct Answer is C

Explanation

A. Rheumatoid arthritis is an autoimmune disease that is not directly related to Group A streptococcal pharyngitis.
B. Nausea and vomiting are common symptoms of Group A streptococcal pharyngitis, but they are not the most serious complication.
C. A serious complication of untreated Group A streptococcal pharyngitis, rheumatic fever can cause inflammation of the heart, joints, skin, and brain. With prompt antibiotic treatment, the risk of developing rheumatic fever can be significantly reduced.
D. Fatigue and malaise are common symptoms of many illnesses, including Group A streptococcal pharyngitis. However, the most serious complication of untreated Group A streptococcal pharyngitis is rheumatic fever.

A. Administer digoxin B. Continue to monitor the client. C. Defibrillate the client. D. Prepare for transcutaneous pacing

Correct Answer is D

Explanation

A. Digoxin is a medication used primarily to treat heart failure and certain types of arrhythmias, such as atrial fibrillation. It works by increasing the force of heart contractions and slowing the heart rate. However, digoxin is not typically used to treat bradycardia and may actually exacerbate the condition by further slowing the heart rate.
B. While monitoring is an essential part of patient care, it is not sufficient alone in this situation. The client’s heart rate is very low (45 beats per minute) and their blood pressure is low (82/60 mm Hg), which suggests they are symptomatic and potentially unstable.
C. Defibrillation is used to treat life-threatening arrhythmias such as ventricular fibrillation or pulseless ventricular tachycardia. It is not used for sinus bradycardia, which is a slow heart rate rather than a rapid, disorganized rhythm requiring electrical shock.

D. Transcutaneous pacing involves applying external pacing pads to the skin to stimulate the heart and increase the heart rate. This is a suitable intervention for symptomatic bradycardia, especially when accompanied by low blood pressure and dizziness.

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A nurse is caring for a client who has infective endocarditis. Which of the following manifestations is the priority for the nurse to monitor for?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has been diagnosed with Group A Streptococcal pharyngitis. The nurse recognizes the need for antibiotic therapy to help prevent the development of which serious condition

Correct Answer is C

Explanation

A client in sinus bradycardia, with a heart rate of 45 beats per minute and blood pressure of 82/60 mm Hg, reports dizziness. Which intervention should the nurse anticipate will be prescribed?

Correct Answer is D

Explanation

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