The nurse identifies the nursing diagnosis of "decreased cardiac output, related to valvular insufficiency for a client with infective endocarditis (IE) based on the assessment finding of
increase in pulse rate of 15 bpm with activity.
fever, chills and diaphoresis.
petechiae of the buccal mucosa and conjunctiva.
urine output less than 30 mL/hr.
The Correct Answer is A
A. An increase in pulse rate with minimal activity indicates the heart is compensating for decreased cardiac output due to valvular insufficiency, making it a direct indicator for this nursing diagnosis.
B. Fever, chills, and diaphoresis are signs of infection but do not directly indicate decreased cardiac output.
C. Petechiae are vascular manifestations of infective endocarditis but are not related to cardiac output.
D. Low urine output may indicate renal perfusion issues, but it is a secondary consequence rather than a direct assessment finding of decreased cardiac output.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A decrease in premature contractions is not the primary goal of atropine; it specifically targets bradycardia.
B. Atropine works by blocking parasympathetic stimulation to the heart, which increases the heart rate. An increase in heart rate to within normal limits (60–100 bpm) directly indicates the medication is effective.
C. Resolution of symptoms may occur as a result of the increased heart rate, but it is an indirect measure and not the primary indicator of drug effectiveness.
D. Blood pressure may improve secondary to heart rate normalization, but it is not the most direct or immediate indicator of atropine efficacy.
Correct Answer is B
Explanation
A. A HR of 105 bpm after elective cardioversion is mildly elevated and not immediately life-threatening.
B. A client with an ICD that has fired twice in 6 hours and is receiving IV amiodarone is at high risk for life-threatening arrhythmias and requires immediate assessment.
C. Constipation post-EP procedure is uncomfortable but not an urgent concern.
D. New-onset atrial fibrillation requires monitoring and rate control but is generally less urgent than a client with recurrent ICD discharges.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.