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Exam (elaborations)

Exam #3 NSG 323 Study Guide Exam with All Correct Answers Updated.

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rheumatic fever - Answer Systemic inflammatory disease that occurs 2-4 weeks after untreated strep A symptoms of rheumatic fever - Answer Fever, joint pain, small painless bumps, chest pain, heart murmur, fatigue, jerky uncontrollable body movements, outburst of unusual behaviors Interventions for rheumatic fever - Answer Culture, EKG, echo, cath Bed rest Encourage fluids and give NSAIDS monitor for permanent heart damage in the future ROM for joint pain Give antibiotics Profession of rheumatic fever - Answer Strep A- rheumatic fever- rheumatic heart disease - endocarditis endocarditis - Answer An infection of the innermost layer of the heart and heart valves Risk factors for endocarditis - Answer Presence of artificial valves, history of endocarditis/other cardiac infections, damaged heart valves, rheumatic heart disease, IV drug use, congenital heart disease, immunosuppression, recurrent fever, recent dental work/ Recent procedures Signs and symptoms of endocarditis - Answer FROM JANE Fever and chills Roth's spots Olser's nodes, Murmur Jane ways lesions Anemia Nail bed hemorrhage (splinter)

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Exam #3 NSG 323 Study Guide Exam
with All Correct Answers 2025-2026
Updated.
rheumatic fever - Answer Systemic inflammatory disease that occurs 2-4 weeks after
untreated strep A



symptoms of rheumatic fever - Answer Fever, joint pain, small painless bumps, chest pain,
heart murmur, fatigue, jerky uncontrollable body movements, outburst of unusual behaviors



Interventions for rheumatic fever - Answer Culture, EKG, echo, cath

Bed rest

Encourage fluids and give NSAIDS

monitor for permanent heart damage in the future

ROM for joint pain

Give antibiotics



Profession of rheumatic fever - Answer Strep A- rheumatic fever- rheumatic heart disease -
endocarditis



endocarditis - Answer An infection of the innermost layer of the heart and heart valves



Risk factors for endocarditis - Answer Presence of artificial valves, history of
endocarditis/other cardiac infections, damaged heart valves, rheumatic heart disease, IV drug
use, congenital heart disease, immunosuppression, recurrent fever, recent dental work/ Recent
procedures



Signs and symptoms of endocarditis - Answer FROM JANE

Fever and chills

Roth's spots

Olser's nodes,

Murmur

Jane ways lesions

Anemia

Nail bed hemorrhage (splinter)

, Emboli



How to diagnose endocarditis - Answer 2 blood cultures, 2 different sites

None to mild increase in leukocytes

Increased ESR and CRP

Increased creatinine levels

EKG, ECHO, cardiac cath

CXR



Pharmacology for endocarditis - Answer Minimum 6 weeks of antibiotics

Antipyretics

Anticoagulants

Anti inflammatory

Corticosteroids, NSAIDS, salicylates



Otitis media - Answer bacterial infection of the middle ear,

Fluid infection or blockage



acute otitis media - Answer Inflammation in the middle that occurs suddenly with signs and
symptoms of illness

Uses antibiotics



otitis media with effusion - Answer Fluid behind tympanic membrane without signs and
symptoms of infection,

Resolves itself in 1-3 months



myringotomy - Answer insertion of a small tube to help drain fluid from the ears



Post OP care for myringotomy - Answer Monitor for ear drainage

Monitor vital signs

Antibiotic drops for a week

Monitor for nausea and vomiting and increase in temperature

Monitor bleeding

Assess pain

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