ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 23 Questions
Question 1 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 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
Which type of cardiomyopathy is associated with syncope?
Correct Answer: D
Rationale: Hypertrophic cardiomyopathy is associated with syncope (sudden loss of consciousness) or near-syncopal episodes, which the client may describe as 'graying out'. Dilated cardiomyopathy, the most common type, is accompanied by dyspnea on exertion and when lying down. Restrictive cardiomyopathy has symptoms of exertional dyspnea, dependent edema in the legs, ascites (fluid in the abdomen), and hepatomegaly (enlarged liver). Arrhythmic cardiomyopathy is inherited.
Question 4 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 5 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.