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Exam (elaborations)

NUR 621 (Adult_Gero Acute) MOD #4, Part 1 (Infective Endocarditis) Questions with CORRECT Answers (Grade A+)

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NUR 621 (Adult_Gero Acute) MOD #4, Part 1 (Infective Endocarditis) Questions with CORRECT Answers (Grade A+)

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NUR 621 (Adult_Gero Acute) MOD #4, Part 1 (Infective Endocarditis) Questions with CORRECT
Answers (Grade A+)


Question 1:

life threating infections of heart valves that has a high morbidity and mortality

*can be native or prosthetic

Answer:

endocarditis

Question 2:

endocarditis is also classified as

Answer:

acute - days, aggressive subacute - weeks/months, slow developing

Question 3:

which is more dangerous, left sided or right sided infective endocarditis?

Answer:

-left side is more dangerous- associated with

stroke, surgery may be needed

-right side is associated

with IV drug use, can be treated with IV ABX

Question 4:

what's the most common pathogen and also the one that causes the highest mortality in infective

endocarditis?

Answer:

staphylococcus aureus

Question 5:

risk factors for IE

Answer:

, native valve disease, pacemakers, prosthetic valves, central lines, IV drug use, long term hospital

stay

Question 6:

fever, murmurs, chest pain, heart block, night sweats, syncope, Janeway lesions (painless lesions

on palms and soles) are signs of

Answer:

infective endocarditis

Question 7:

most widely used tool for diagnosing IE

Answer:

Duke's Criteria

Question 8:

-2 separate positive blood cultures

-persistently positive blood cultures

-single positive blood culture for C. Burnetti

-IE positive on echo

-new valvular murmurs

Answer:

Duke's major criteria for IE

Question 9:

what kind of echo is preferred?

Answer:

TEE is preferred over the chest one

Question 10:

-predisposing heart condition or IV drug use

-fever
-vascular issues (clots, Janeway lesions/purple spots on

soles of hands and feet, splinter hemorrhages under fingernails)

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