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 ["B","C","D","F"]
Explanation
Choice A rationale:
The client’s temperature decreased from 37.6°C to 36.8°C1. This is within the normal body temperature range of 36.5°C to 37.2°C2, so it does not require further action.
Choice B rationale:
The client’s oxygen saturation decreased from 95% to 88%1. Normal pulse oximetry values are typically above 95%2. This decrease could indicate that the client is not getting enough oxygen, which requires further action.
Choice C rationale:
The client’s blood pressure increased from 108/50 mm Hg to 138/80 mm Hg. Normal blood pressure for adults is below 120/80 mm Hg. This increase could indicate worsening heart failure, which requires further action.
Choice D rationale:
The client’s weight increased from 80 kg to 82.1 kg. Rapid weight gain may be a sign of fluid retention, a common symptom of heart failure. This requires further action.
Choice E rationale:
The client’s urine output decreased from 480 mL/8 hr to 320 mL/8 hr.However it is still above 30ml/hr signifying normal renal function
Choice F rationale:
On Day 4, the client’s breath sounds were scattered, and crackles were heard bilaterally. This could indicate fluid accumulation in the lungs, a common symptom of heart failure. This requires further action.
So, the correct answer is Choices B, C, D, and F, after analyzing all choices.
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.
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