A nurse is caring for a patient diagnosed with infectious endocarditis. The nurse is aware that which of the following are potential assessment findings? (SELECT ALL THAT APPLY)

Osler Nodes

Splinter Hemorrhages

Petechial Hemorrhaging

Janeway Lesions

Fever with Chills

Answer and Explanation

Correct Answer : A,B,C,D,E

A. Osler Nodes – These are tender, painful nodules on the fingers and toes, a classic sign of infective endocarditis.
B. Splinter Hemorrhages – Tiny blood clots under the fingernails occur due to microembolization from infected heart valves.
C. Petechial Hemorrhaging – Small red or purple spots on the skin or mucous membranes occur due to embolization of infected material.
D. Janeway Lesions – Painless, flat, red spots on the palms and soles caused by microemboli.
E. Fever with Chills – A common systemic symptom due to infection and inflammation.

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Correct Answer is C

Explanation

A. An echocardiogram does not assess coronary artery blockages; a coronary angiogram or cardiac catheterization is used for that.
B. Fasting is not required for a standard transthoracic echocardiogram. However, fasting may be needed for a transesophageal echocardiogram (TEE).
C. An echocardiogram is a non-invasive ultrasound test that evaluates heart structure, valve function, and cardiac muscle performance.
D. There is no discomfort during a transthoracic echocardiogram, as it is performed externally using a probe on the chest.

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

Correct Answer is A

Explanation

A. IV Nitroglycerine is a vasodilator that improves coronary blood flow, reduces myocardial oxygen demand, and relieves chest pain in AMI.
B. IV Heparin is an anticoagulant that prevents further clot formation but does not dilate blood vessels.
C. Metoprolol, a beta-blocker, reduces heart rate and myocardial oxygen demand but does not cause coronary vasodilation.
D. Alteplase (fibrinolytic) helps dissolve clots in acute STEMI but does not directly dilate coronary arteries.

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A nurse is caring for a patient diagnosed with infectious endocarditis. The nurse is aware that which of the following are potential assessment findings? (SELECT ALL THAT APPLY)

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is scheduled for an echocardiogram the following day. Which of the following information should the nurse include about the test?

Correct Answer is C

Explanation

A nurse is caring for a client with an acute myocardial infarction (AMI). The nurse is preparing medications for the client and recognizes that which medication will dilate the client’s coronary blood vessels?

Correct Answer is A

Explanation

A nurse is providing discharge instructions for a client diagnosed with congestive heart failure. Which of the following client statements indicates to the nurse that the teaching was effective?

Identify the following Cardiac Rhythm:

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Exhibits Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.