A nurse is collecting data on a client who has infective endocarditis. The nurse should recognize which of the following findings is the priority to report to the provider?

Malaise

Dyspnea

Fever

Anorexia

Answer and Explanation

The Correct Answer is B

A. Malaise: Malaise is a common symptom of infective endocarditis, indicating generalized discomfort or fatigue. However, it is not an immediate life-threatening condition and does not require urgent intervention.

B. Dyspnea: Dyspnea is the priority because it can indicate heart failure or a pulmonary embolism, both of which are serious complications of infective endocarditis. This requires immediate attention and reporting.

C. Fever: Fever is common in infective endocarditis due to the underlying infection. While important, it is expected and usually managed with antipyretics and antibiotics. It is not as urgent as dyspnea.

D. Anorexia: Anorexia is also a common symptom of infective endocarditis but is not an immediate threat to the client’s health.

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Free Nursing Study Resources

Correct Answer is ["94"]

Explanation

To calculate the rate, divide the total volume to be infused by the time (in hours).

Rate =750 mL ÷ 8 hr

= 93.75 mL/hr

Rounded to the nearest whole number: 94 mL/hr.

A. Soft, pliable calf muscle B. Cool and clammy skin C. Dull, aching calf pain D. Temperature > 100 F

Correct Answer is C

Explanation

A. Soft, pliable calf muscle: A soft and pliable calf muscle is not indicative of a thrombus. Typically, a thrombus leads to swelling and firmness in the affected area.

B. Cool and clammy skin: Cool and clammy skin could indicate poor circulation, but it is not specific to a thrombus.

C. Dull, aching calf pain: Dull, aching calf pain is a key symptom of deep vein thrombosis (DVT) and should prompt further investigation.

D. Temperature > 100°F: A fever could indicate an infection but is not a classic sign of a thrombus.

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A nurse is collecting data on a client who has infective endocarditis. The nurse should recognize which of the following findings is the priority to report to the provider?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer 0.9% sodium chloride (NaCl) 750 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["94"]

Explanation

A nurse is caring for a client who is postoperative following vascular surgery. Which of the following manifestations should indicate to the nurse that the client has developed a thrombus?

Correct Answer is C

Explanation

A nurse is collecting data from a client who has mitral stenosis. Which of the following findings is a manifestation of this condition?

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