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Exam 2: NSG 430/ NSG430 (New 2024/ 2025 Update) Adult Health Nursing II | Qs & As | 100% Correct| Grade A (Verified Answers)- GCU

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Exam 2: NSG 430/ NSG430 (New 2024/ 2025 Update) Adult Health Nursing II | Qs & As | 100% Correct| Grade A (Verified Answers)- GCU Q: What do you need to tell patients about after getting a valve replacement? Answer: Patient will need to be on lifelong anticoagulant therapy because clots form more easily in artificial replacement valves Q: What is pericarditis? Answer: inflammation of the pericardium Q: What does the pericardium do? Answer: Holds serious fluid and anchors and provides lubrication to decrease friction between heart contractures Q: What is the most common cause of pericarditis? Answer: Infectious (viral & bacterial) Q: Main s/s of pericarditis Answer: Pericardial friction rub and fever Q: How do you assess pericardial friction rub? Answer: Auscultate on lower left sternal border Q: What s/s needs to be reported immediately with pericarditis? Answer: Jugular venous distention to jaw level Q: What are other s/s of pericarditis? Answer: Progressive frequent severe, sharp chest pain (worse when lying flat) Q: Drug treatment for pericarditis Answer: NSAIDs (usually indocin), antibiotics to treat bacterial, and corticosteroids Q: What are two types of infective endocarditis? Answer: Acute and subacute Q: What is acute infective endocarditis? Answer: Affects those with health valves and staph is usually the bacteria most common; likely from IV drug use Q: What is subacute infective endocarditis? Answer: Affects those with preexisting valve disease or congenital and strep is usually the bacteria Q: What is the assessment finding of nursing diagnosis of decreased cardiac output related to valvular insufficiency for a patient with IE? Answer: Urine output less than 30 ml/hr Q: When do you give prophylactic antibiotics for patients with IE Answer: Dental procedures, respiratory tract

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Institution
NSG 430/ NSG430
Course
NSG 430/ NSG430

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Uploaded on
September 9, 2024
Number of pages
27
Written in
2024/2025
Type
Exam (elaborations)
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Questions & answers

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ExamI2:INSGI430/INSG430I(NewI2024/I
2025IUpdate)IAdultIHealthINursingIIII|IQs
I&IAsI|I100%ICorrect|IGradeIAI(VerifiedI
Answers)-IGCU
Q:IWhatIdoIyouIneedItoItellIpatientsIaboutIafterIgettingIaIvalveIreplacement?

Answer:
PatientIwillIneedItoIbeIonIlifelongIanticoagulantItherapyIbecauseIclotsIformImoreIeasilyIinIarti
ficialIreplacementIvalves




Q:IWhatIisIpericarditis?

Answer:
inflammationIofItheIpericardium




Q:IWhatIdoesItheIpericardiumIdo?

Answer:
HoldsIseriousIfluidIandIanchorsIandIprovidesIlubricationItoIdecreaseIfrictionIbetweenIheartIco
ntractures




Q:IWhatIisItheImostIcommonIcauseIofIpericarditis?

Answer:
InfectiousI(viralI&Ibacterial)

,Q:IMainIs/sIofIpericarditis

Answer:
PericardialIfrictionIrubIandIfever




Q:IHowIdoIyouIassessIpericardialIfrictionIrub?

Answer:
AuscultateIonIlowerIleftIsternalIborder




Q:IWhatIs/sIneedsItoIbeIreportedIimmediatelyIwithIpericarditis?

Answer:
JugularIvenousIdistentionItoIjawIlevel




Q:IWhatIareIotherIs/sIofIpericarditis?

Answer:
ProgressiveIfrequentIsevere,IsharpIchestIpainI(worseIwhenIlyingIflat)




Q:IDrugItreatmentIforIpericarditis

Answer:
NSAIDsI(usuallyIindocin),IantibioticsItoItreatIbacterial,IandIcorticosteroids

, Q:IWhatIareItwoItypesIofIinfectiveIendocarditis?

Answer:
AcuteIandIsubacute




Q:IWhatIisIacuteIinfectiveIendocarditis?

Answer:
AffectsIthoseIwithIhealthIvalvesIandIstaphIisIusuallyItheIbacteriaImostIcommon;IlikelyIfromII
VIdrugIuse




Q:IWhatIisIsubacuteIinfectiveIendocarditis?

Answer:
AffectsIthoseIwithIpreexistingIvalveIdiseaseIorIcongenitalIandIstrepIisIusuallyItheIbacteria




Q:IWhatIisItheIassessmentIfindingIofInursingIdiagnosisIofIdecreasedIcardiacIoutputIrelatedIt
oIvalvularIinsufficiencyIforIaIpatientIwithIIE?


Answer:
UrineIoutputIlessIthanI30Iml/hr




Q:IWhenIdoIyouIgiveIprophylacticIantibioticsIforIpatientsIwithIIE

Answer:
DentalIprocedures,IrespiratoryItractIincisions,Itonsillectomy,IandIadeniodectomy

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