Inflammatory and Structural Heart
Disorders Questions 67 complete
solutions.
Inflammatory and Structural Heart
Disorders Questions 67 complete
solutions.
A 25-yr-old patient with a group A streptococcal pharyngitis does not want to take the antibiotics
prescribed.
What should the nurse tell the patient to encourage the patient to take the medications and avoid
complications of the infection? - ANSWER "Without treatment, you could get rheumatic fever, which can
lead to rheumatic heart disease."
Rheumatic fever (RF) is not common because of effective use of antibiotics to treat streptococcal
infections.
Without treatment, RF can occur and lead to rheumatic heart disease, especially in young adults.
The complications do not include hair or balance.
A 72-yr-old man with a history of aortic stenosis is admitted to the emergency department. He reports
severe left-sided chest pressure radiating to the jaw.
Which medication, if ordered by the health care provider, should the nurse question? - ANSWER
Nitroglycerin
Aspirin, oxygen, nitroglycerin, and morphine sulfate are all commonly used to treat acute chest pain
suspected to be caused by myocardial ischemia.
However, nitroglycerin should be used cautiously or avoided in patients with aortic stenosis as a
significant reduction in blood pressure may occur.
, Inflammatory and Structural Heart
Disorders Questions 67 complete
solutions.
Chest pain can worsen because of a drop in blood pressure.
While admitting a patient with pericarditis, the nurse will assess for what manifestations of this
disorder? - ANSWER Pulsus paradoxus
Pericarditis can lead to cardiac tamponade, an emergency situation.
Pulsus paradoxus greater than 10 mm Hg is a sign of cardiac tamponade that should be assessed at least
every 4 hours in a patient with pericarditis.
first-degree AV block - ANSWER Prolonged PR intervals
valvular heart disease and increased intracranial pressure - ANSWER Widened pulse pressure
subacute forms of infective endocarditis and valvular heart disease. - ANSWER clubbing of the fingers
The nurse conducts a complete physical assessment on a patient admitted with infective endocarditis.
Which finding is significant? - ANSWER Regurgitant murmur at the mitral valve area
A regurgitant murmur of the aortic or mitral valves would indicate valvular disease, which is a
complication of endocarditis.
All the other findings are within normal limits.
The nurse is caring for a patient who received a mechanical aortic valve replacement two years ago.
Current lab values include an international normalized ratio (INR) of 1.5, platelet count of 150,000/μL,
and hemoglobin of 8.6g/dL. Which nursing action is most appropriate? - ANSWER Report laboratory
values to the health care provider.
Disorders Questions 67 complete
solutions.
Inflammatory and Structural Heart
Disorders Questions 67 complete
solutions.
A 25-yr-old patient with a group A streptococcal pharyngitis does not want to take the antibiotics
prescribed.
What should the nurse tell the patient to encourage the patient to take the medications and avoid
complications of the infection? - ANSWER "Without treatment, you could get rheumatic fever, which can
lead to rheumatic heart disease."
Rheumatic fever (RF) is not common because of effective use of antibiotics to treat streptococcal
infections.
Without treatment, RF can occur and lead to rheumatic heart disease, especially in young adults.
The complications do not include hair or balance.
A 72-yr-old man with a history of aortic stenosis is admitted to the emergency department. He reports
severe left-sided chest pressure radiating to the jaw.
Which medication, if ordered by the health care provider, should the nurse question? - ANSWER
Nitroglycerin
Aspirin, oxygen, nitroglycerin, and morphine sulfate are all commonly used to treat acute chest pain
suspected to be caused by myocardial ischemia.
However, nitroglycerin should be used cautiously or avoided in patients with aortic stenosis as a
significant reduction in blood pressure may occur.
, Inflammatory and Structural Heart
Disorders Questions 67 complete
solutions.
Chest pain can worsen because of a drop in blood pressure.
While admitting a patient with pericarditis, the nurse will assess for what manifestations of this
disorder? - ANSWER Pulsus paradoxus
Pericarditis can lead to cardiac tamponade, an emergency situation.
Pulsus paradoxus greater than 10 mm Hg is a sign of cardiac tamponade that should be assessed at least
every 4 hours in a patient with pericarditis.
first-degree AV block - ANSWER Prolonged PR intervals
valvular heart disease and increased intracranial pressure - ANSWER Widened pulse pressure
subacute forms of infective endocarditis and valvular heart disease. - ANSWER clubbing of the fingers
The nurse conducts a complete physical assessment on a patient admitted with infective endocarditis.
Which finding is significant? - ANSWER Regurgitant murmur at the mitral valve area
A regurgitant murmur of the aortic or mitral valves would indicate valvular disease, which is a
complication of endocarditis.
All the other findings are within normal limits.
The nurse is caring for a patient who received a mechanical aortic valve replacement two years ago.
Current lab values include an international normalized ratio (INR) of 1.5, platelet count of 150,000/μL,
and hemoglobin of 8.6g/dL. Which nursing action is most appropriate? - ANSWER Report laboratory
values to the health care provider.
