The nurse obtains a health history from an older adult with a prosthetic mitral valve who has symptoms of infective endocarditis (IE). Which question by the nurse helps identify a risk factor for IE?.
"Do you have a history of a heart attack?".
"Have you had any recent immunizations?".
"Do you have a family history of endocarditis?".
"Have you had dental work done recently?".
The Correct Answer is D
Choice A rationale:
While a history of heart attack indicates a general risk for heart disease, it is not specifically associated with an increased risk for infective endocarditis.
Choice B rationale:
Immunizations do not typically increase the risk for infective endocarditis.
Choice C rationale:
Family history of endocarditis does not necessarily increase the risk for infective endocarditis.
Choice D rationale:
Dental work can introduce bacteria into the bloodstream, which can lead to infective endocarditis, especially in individuals with prosthetic heart valves.
So, the correct answer is D, after analyzing all choices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
While a history of heart attack indicates a general risk for heart disease, it is not specifically associated with an increased risk for infective endocarditis.
Choice B rationale:
Immunizations do not typically increase the risk for infective endocarditis.
Choice C rationale:
Family history of endocarditis does not necessarily increase the risk for infective endocarditis.
Choice D rationale:
Dental work can introduce bacteria into the bloodstream, which can lead to infective endocarditis, especially in individuals with prosthetic heart valves.
So, the correct answer is D, after analyzing all choices.
Correct Answer is D
Explanation
Choice A rationale:
While aspirin is often given to patients with suspected myocardial infarction, asking if the patient took aspirin does not help determine the timing of the onset of symptoms.
Choice B rationale:
Knowing the patient’s allergies is important for medication safety, but it does not help determine eligibility for thrombolytic therapy.
Choice C rationale:
Rating the pain on a scale helps assess the severity of the pain, but it does not provide information about the timing of the onset of symptoms.
Choice D rationale:
The time of pain onset is crucial in determining eligibility for thrombolytic therapy. Thrombolytic therapy is most effective when given within a certain time frame from the onset of symptoms.
So, the correct answer is D, after analyzing all choices.
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