Chapter 36: Cardiomyopathy & Valvular Heart
Disease Evolve Practice Questions with Correct
Answers
The nurse conducts a complete physical assessment on a patient
admitted with infective endocarditis. Which finding is significant?
A. Regurgitant murmur at the mitral valve area
B. Point of maximal impulse palpable in fourth intercostal space
C. Heart rate of 94 beats/min and capillary refill time of 2 seconds
D. Respiratory rate of 18 breaths/min and heart rate of 90 beats/min
Correct Answer-ANS: A
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.
A 25-yr-old patient with a group A streptococcal pharyngitis does not
want to take the antibiotics prescribed. How should the nurse respond?
A. "You will not feel well if you do not take the medicine and get over
this infection."
B. "Once you have been treated for a group A streptococcal infection,
you will not get it again."
C. "Without treatment, you could get rheumatic fever, which can lead to
rheumatic heart disease."
, D. "You may not want to take the antibiotics for this infection, but you
will be sorry if you do not." Correct Answer-ANS: C
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.
Saying that the patient will not feel well or that the patient will be sorry
if the antibiotics are not taken is threatening to the patient and
inappropriate for the nurse to say. Patients may have reoccurring
infection of group A streptococcus.
The patient with pericarditis is reporting chest pain. After assessment,
which intervention should the nurse expect to implement to provide pain
relief?
A. Corticosteroids
B. Morphine sulfate
C. Proton pump inhibitor
D. Nonsteroidal antiinflammatory drugs Correct Answer-ANS: D
Nonsteroidal antiinflammatory drugs (NSAIDs) control pain and
inflammation. Corticosteroids are reserved for patients already taking
corticosteroids for autoimmune conditions and those who do not respond
to NSAIDs. Morphine is not necessary. Proton pump inhibitors are used
to decrease stomach acid to avoid the risk of gastrointestinal bleeding
from the NSAIDs.
Disease Evolve Practice Questions with Correct
Answers
The nurse conducts a complete physical assessment on a patient
admitted with infective endocarditis. Which finding is significant?
A. Regurgitant murmur at the mitral valve area
B. Point of maximal impulse palpable in fourth intercostal space
C. Heart rate of 94 beats/min and capillary refill time of 2 seconds
D. Respiratory rate of 18 breaths/min and heart rate of 90 beats/min
Correct Answer-ANS: A
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.
A 25-yr-old patient with a group A streptococcal pharyngitis does not
want to take the antibiotics prescribed. How should the nurse respond?
A. "You will not feel well if you do not take the medicine and get over
this infection."
B. "Once you have been treated for a group A streptococcal infection,
you will not get it again."
C. "Without treatment, you could get rheumatic fever, which can lead to
rheumatic heart disease."
, D. "You may not want to take the antibiotics for this infection, but you
will be sorry if you do not." Correct Answer-ANS: C
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.
Saying that the patient will not feel well or that the patient will be sorry
if the antibiotics are not taken is threatening to the patient and
inappropriate for the nurse to say. Patients may have reoccurring
infection of group A streptococcus.
The patient with pericarditis is reporting chest pain. After assessment,
which intervention should the nurse expect to implement to provide pain
relief?
A. Corticosteroids
B. Morphine sulfate
C. Proton pump inhibitor
D. Nonsteroidal antiinflammatory drugs Correct Answer-ANS: D
Nonsteroidal antiinflammatory drugs (NSAIDs) control pain and
inflammation. Corticosteroids are reserved for patients already taking
corticosteroids for autoimmune conditions and those who do not respond
to NSAIDs. Morphine is not necessary. Proton pump inhibitors are used
to decrease stomach acid to avoid the risk of gastrointestinal bleeding
from the NSAIDs.
