The nurse is teaching a group of staff nurses about myocarditis. What would the nurse identify as being potential risk factors for this condition? Select All That Apply
Pharmacological toxins
Pleural infusion
Autoimmune disorders
Viral infections
Peripheral vascular disease
Correct Answer : A,C,D
A. Pharmacological toxins can contribute to myocarditis, as certain drugs may induce inflammatory responses in the myocardium.
B. Pleural infusion is incorrect. Pleural infusion, or pleural effusion, is not directly associated with myocarditis.
C. Autoimmune disorders such as lupus and rheumatoid arthritis can predispose individuals to myocarditis due to immune system dysregulation.
D. Viral infections are a major cause of myocarditis, particularly infections like coxsackievirus, parvovirus B19, and HIV.
E. Peripheral vascular disease is incorrect. While peripheral vascular disease is related to poor circulation, it does not directly contribute to the development of myocarditis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Administer oxygen via nasal cannula: The client's symptoms of dyspnea, chest pain, syncope, and hypotension suggest a possible acute cardiovascular event, such as a myocardial infarction (MI) or pulmonary embolism (PE). Administering oxygen should be the priority to improve oxygenation and prevent hypoxia, which could exacerbate the client's symptoms and further compromise cardiac function.
B. Administer prescribed pain medications. Pain relief may be necessary, but stabilizing oxygen levels is the priority.
C. Administer NS IV fluid. Fluid administration may be helpful, but oxygenation is more critical in this situation to address the potential underlying respiratory or cardiac issue.
D. Ask the provider for a dopamine prescription. While dopamine may be used in cases of shock, the immediate action should be to ensure the client is adequately oxygenated.
Correct Answer is D
Explanation
A. Propranolol: This is a beta-blocker, which may be used to control heart rate, but it does not address the risk of thromboembolism in atrial fibrillation.
B. Procainamide: This is an antiarrhythmic used for rhythm control, but it does not address stroke prevention in atrial fibrillation.
C. Aspirin: Although aspirin is sometimes used for stroke prevention, it is generally less effective than anticoagulation therapy in clients with higher CHA2DS2-VASC scores.
D. Warfarin: A CHA2DS2-VASC score of 2 indicates a moderate risk for stroke, and warfarin (or another anticoagulant) is indicated to reduce the risk of thromboembolic events.
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