ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 23 Questions
Question 1 of 5
The nurse is performing client teaching with a client who has just been diagnosed with cardiomyopathy. What instructions should the nurse provide a client with cardiomyopathy to avoid pulmonary complications that may compromise cardiopulmonary function?
Correct Answer: B
Rationale: The nurse should instruct the client to receive the pneumonia vaccine and yearly influenza vaccinations to avoid pulmonary complications that may compromise cardiopulmonary function. Staying within the level of exercise tolerance does not help to avoid pulmonary complications. Eating a diet high in sodium causes water retention and therefore makes the client at risk for pulmonary edema, pneumonia, etc. The client should keep appointments for medical follow-up to evaluate the status of the disease and symptom control.
Question 2 of 5
The instructor is talking with a nursing student who is caring for a client with pericarditis. The instructor asks the student to name the main characteristic of pericarditis. What should be the student's answer?
Correct Answer: A
Rationale: Precordial pain is the main characteristic of pericarditis. Dyspnea, fever, and respiratory symptoms are not the main characteristics of pericarditis.
Question 3 of 5
The nurse is instructing a new graduate nurse. Together, they are caring for a client with infective endocarditis. What is a sign of infective endocarditis?
Correct Answer: B
Rationale: Splinter hemorrhage, black longitudinal lines, can be seen in the nails of the clients with endocarditis. Polyarthritis, inflammation of more than one joint, is a potential manifestation of rheumatic carditis. A heart murmur is the first abnormal sign detected in clients with cardiomyopathy. Precordial pain is the main characteristic of pericarditis.
Question 4 of 5
A young parent brings a 4-year-old child in to the pediatric clinic with a mild fever and a red, spotty rash that is beginning to fade. The child's heart rate is rapid, and the rhythm is abnormal. The parent states the child has been healthy until about 3 weeks ago when the child had a sore throat. The nurse suspects rheumatic carditis. What organism causes rheumatic carditis?
Correct Answer: A
Rationale: The inflammatory symptoms of rheumatic carditis are believed to be induced by antibodies originally formed to destroy the group A beta-hemolytic streptococcal microorganisms. Staphylococcus aureus and Streptococcus viridians are associated with infectious endocarditis. The Epstein-Barr virus is associated with myocarditis.
Question 5 of 5
The nurse is caring for a client with thrombophlebitis. When assessing this client, what would be most important to assess for?
Correct Answer: A
Rationale: Consult with the client about chest pain and dyspnea, which are hallmarks of PE, a complication of thrombophlebitis.