NR 341 COMPLEX ADULT HEALTH EXAM 2 50 REAL EXAM
QUESTIONS WITH 100% RATED CORRECT ANSWERS (ACCURATELY
PASSED) 2025 LATEST UPDATED GET A+
Cause of pericarditis - (ANSWER)virus after MI, Rheumatic fever
what can pericarditis lead to - (ANSWER)cardiac tamponade
assessment/indicators of pericarditis - (ANSWER)-complaints of localized "pleuritic" chest
pain that lasts a few seconds and increases with cough, swallowing, and inspiration and is
relieved with leaning forward
-pericardial friction rub
-ST segment elevation in ALL leads
Tx for pericarditis - (ANSWER)Pain relief → colchicine, indomethacin, ibuprofen, or steroids
Antibiotics in presence of infection
Pericardiocentesis if effusion present
indicated by muffled heart tones - (ANSWER)cardiac tamponade
Should be ruled out for any pt presenting with fever + new murmur (usually bacterial) -
(ANSWER)endocarditis
assessment for endocarditis - (ANSWER)Fever lasting for several weeks, medium-high grade
Headaches/Fatigue/Malaise/Weight loss
Exertional dyspnea + Cough
Murmurs may not be detectable
Skin changes: Pallor, purpura, petechiae
, Osler's nodes (painful nodules in the phalanges)
Splinter hemorrhages (look @ fingernails)
Janeway lesions (macules on palms and soles)
Splenomegaly
transesophageal echocardiography (TEE) - (ANSWER)gold standard dx for endocarditis
interventions for endocarditis - (ANSWER)Oxygen
Decrease activity while febrile
Obtain blood cultures
Abx
Antipyretics
I&O
VS
Anti-inflammatories
prevention of endocarditis - (ANSWER)abx before invasive procedures
tx for endocarditis - (ANSWER)Tx: antipyretics, abx, rest
-may need a heart valve (last intervention)
Ventilator indications - (ANSWER)Hypoxemia = PaO2 ≤ 60 mmHg on FiO2 > 0.50
Hypercapnea = PCO2 ≥ 50 mmHg with pH ≤ 7.25
Progressive deterioration
↗ WOB, ↗ RR, ↘ VT
QUESTIONS WITH 100% RATED CORRECT ANSWERS (ACCURATELY
PASSED) 2025 LATEST UPDATED GET A+
Cause of pericarditis - (ANSWER)virus after MI, Rheumatic fever
what can pericarditis lead to - (ANSWER)cardiac tamponade
assessment/indicators of pericarditis - (ANSWER)-complaints of localized "pleuritic" chest
pain that lasts a few seconds and increases with cough, swallowing, and inspiration and is
relieved with leaning forward
-pericardial friction rub
-ST segment elevation in ALL leads
Tx for pericarditis - (ANSWER)Pain relief → colchicine, indomethacin, ibuprofen, or steroids
Antibiotics in presence of infection
Pericardiocentesis if effusion present
indicated by muffled heart tones - (ANSWER)cardiac tamponade
Should be ruled out for any pt presenting with fever + new murmur (usually bacterial) -
(ANSWER)endocarditis
assessment for endocarditis - (ANSWER)Fever lasting for several weeks, medium-high grade
Headaches/Fatigue/Malaise/Weight loss
Exertional dyspnea + Cough
Murmurs may not be detectable
Skin changes: Pallor, purpura, petechiae
, Osler's nodes (painful nodules in the phalanges)
Splinter hemorrhages (look @ fingernails)
Janeway lesions (macules on palms and soles)
Splenomegaly
transesophageal echocardiography (TEE) - (ANSWER)gold standard dx for endocarditis
interventions for endocarditis - (ANSWER)Oxygen
Decrease activity while febrile
Obtain blood cultures
Abx
Antipyretics
I&O
VS
Anti-inflammatories
prevention of endocarditis - (ANSWER)abx before invasive procedures
tx for endocarditis - (ANSWER)Tx: antipyretics, abx, rest
-may need a heart valve (last intervention)
Ventilator indications - (ANSWER)Hypoxemia = PaO2 ≤ 60 mmHg on FiO2 > 0.50
Hypercapnea = PCO2 ≥ 50 mmHg with pH ≤ 7.25
Progressive deterioration
↗ WOB, ↗ RR, ↘ VT