What is the most important nursing action in caring for a patient who has just recovered from rheumatic fever?

Educate the patient on the necessity of continuous antibiotic prophylaxis.

Inform the patient about the importance of ongoing anticoagulation.

Instruct the patient on the need to adhere to standard infection control procedures.

Guide the patient on how to manage their physical activity.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Education on the necessity of continuous antibiotic prophylaxis is crucial for patients who have just recovered from rheumatic fever. Rheumatic fever is an inflammatory disease that can develop as a complication of untreated or inadequately treated strep throat or scarlet fever.
Patients who have had rheumatic fever are at risk of getting it again if they have another strep infection. Continuous antibiotic prophylaxis can prevent recurrent infections and the development of rheumatic heart disease.
Choice B rationale
While anticoagulation therapy may be necessary for some patients with heart conditions, it is not typically the most important nursing action for a patient who has just recovered from rheumatic fever. Rheumatic fever can cause inflammation and damage to the heart valves, but it does not typically cause blood clots, which are the primary reason for anticoagulation therapy.
Choice C rationale
Adherence to standard infection control procedures is important for all patients, but it is not the most important nursing action for a patient who has just recovered from rheumatic fever. The primary concern for these patients is preventing recurrent strep infections, which can be achieved through continuous antibiotic prophylaxis.
Choice D rationale
While physical activity management may be part of the overall care plan for a patient who has just recovered from rheumatic fever, it is not typically the most important nursing action. The primary concern for these patients is preventing recurrent strep infections, which can be achieved through continuous antibiotic prophylaxis.

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Correct Answer is C

Explanation

Choice A rationale
Bradycardia, palpitations, confusion, and truncal rash are not typically associated with septic shock. Septic shock is a severe infection that occurs when bacteria enter the bloodstream. It can cause organs to fail and can lead to death.
Choice B rationale
Severe respiratory distress, jugular venous distention, and chest pain are more commonly associated with conditions like heart failure or pulmonary embolism, not septic shock.
Choice C rationale
Low blood pressure and tachycardia are common symptoms of septic shock. This happens because the body’s response to the infection causes blood vessels to dilate, which can lower blood pressure. The heart rate often increases (tachycardia) in an attempt to maintain blood flow to the organs.
Choice D rationale
Reduced cardiac output, increased systemic vascular resistance, and a moist cough are not typical symptoms of septic shock. These symptoms are more commonly associated with conditions like heart failure.

A. The diaphragm. B. The bifurcation into the common iliac arteries. C. The aortic valve. D. The ductus arteriosus.

Correct Answer is D

Explanation

Choice A rationale
The diaphragm is not typically the location of a coarctation of the aorta. The diaphragm is a muscle that helps with breathing and separates the chest cavity from the abdominal cavity.
Choice B rationale
The bifurcation into the common iliac arteries is not typically the location of a coarctation of the aorta. The common iliac arteries are located in the lower part of the aorta and supply blood to the pelvis and legs.
Choice C rationale
The aortic valve is not typically the location of a coarctation of the aorta. The aortic valve is located between the left ventricle of the heart and the aorta.
Choice D rationale
The ductus arteriosus is the correct answer. Coarctation of the aorta often occurs near the ductus arteriosus, a blood vessel that connects the left pulmonary artery to the aorta.

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What is the most important nursing action in caring for a patient who has just recovered from rheumatic fever?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 20-year-old female is being admitted to the hospital with fever and septic shock. Which set of assessment findings would the nurse expect the patient to exhibit?

Correct Answer is C

Explanation

Coarctation of the aorta refers to the local narrowing of the aorta near which location?

Correct Answer is D

Explanation

In the context of a 65-year-old male patient diagnosed with chronic pulmonary disease and elevated pulmonary vascular resistance, which type of heart failure should the nurse assess for in this patient?

Most cases of combined systolic and diastolic hypertension have no known cause and are documented on the chart as what type of hypertension?

You are providing care to a patient with pericarditis. Which of the following is NOT a proper nursing intervention for this patient?

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After receiving a change-of-shift report, which patient admitted to the emergency department should the nurse assess first?