ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 23 : Caring for Clients With Infectious and Inflammatory Disorders of the Heart
and Blood Vessels Questions
Question 1 of 5
The nurse is caring for a pediatric client diagnosed with rheumatic carditis. The parents ask what is causing the inflammation. The nurse is correct to answer which of the following?
Correct Answer: B
Rationale: The inflammatory symptoms of rheumatic carditis are believed to be induced by antibodies originally formed to destroy the group A beta-hemolytic streptococcal microorganism. It is not the microorganism or infection that causes the inflammation. It is not structural damage that causes inflammation.
Question 2 of 5
The nurse is obtaining a history from a client brought to the emergency department following a motor vehicle accident. The client states having a history of rheumatic heart disease as a child. The nurse would evaluate this patient for which long-standing changes of rheumatic heart disease?
Correct Answer: A
Rationale: After the acute episode of rheumatic fever, many of the symptoms cease and the client recovers, but valvular changes remain. Dysrhythmias occur in the acute period and may lead to heart failure. Pulmonary hypertension is not noted during this time.
Question 3 of 5
The nurse is reviewing the results of a client's diagnostic test indicating a positive strep culture. Which prescription medication does the nurse anticipate?
Correct Answer: B
Rationale: The prescription medication anticipated as it is the drug of choice is a penicillin drug such as amoxicillin. Prednisone is a corticosteroid and not typically prescribed. Acetaminophen is used for pain relief but not a prescription medication. Xanax is an antianxiety medication and not typically prescribed for a positive strep culture.
Question 4 of 5
When caring for an adolescent client recovering from rheumatic fever, which diversional activity would the nurse advise against?
Correct Answer: B
Rationale: When advising proper diversional activity, activities suggested would be those which require minimal activity to reduce the work of the myocardium. Exercise, a popular activity of adolescents, would be too much activity in the recovery process. All the other activities would be acceptable.
Question 5 of 5
The nurse is reviewing the lab work of a client diagnosed with infective endocarditis. Which diagnostic study confirms the diagnosis?
Correct Answer: B
Rationale: A positive blood culture identifies the microorganism circulating in the blood. Slight leukocytosis is common but can be associated with other disease processes. Serum cardiac antigens and immunosuppressant assay are not typical diagnostic studies.