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
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 2 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.
Question 3 of 5
The nurse is caring for a client diagnosed with infective endocarditis and awaiting blood culture results. The client asks, 'Where did I pick up these bacteria?' The nurse is most safe to speculate which of the following?
Correct Answer: D
Rationale: The microorganisms that cause infective endocarditis include bacteria and fungi. Streptococci and staphylococci are the bacteria most frequently responsible for this disorder. Both bacteria are abundantly found on the skin. These organisms are not found in the other locations.
Question 4 of 5
The nurse is planning care for a client with history of rheumatic carditis. Which nursing intervention would be most helpful in preventing further complications?
Correct Answer: B
Rationale: A nurse considers that clients with a history of rheumatic carditis may be at risk for further complications. Considering care (clean or sterile) during invasive procedures reduces the portals of entry for causative microorganisms. This is most helpful in preventing further complications. All other options are appropriate interventions when considering standards of care.
Question 5 of 5
The nurse is caring for a client with cardiac compromise related to mitral valve impairment. Which outcome of the eroding of the mitral valve is most significant?
Correct Answer: B
Rationale: The most significant outcome of the eroding of the mitral valve is heart failure. Blood leaking between the heart chambers diminishes the hearts ability to circulate blood efficiently. Eventually, the heart cannot keep up with the body's metabolic need, and heart failure occurs.