A nurse is assessing a client two months after mitral valve replacement. The client complains of malaise, anorexia, weight loss, chills, and fever. The nurse suspects the client may have endocarditis. What other assessment sign is associated with infectious endocarditis?
Muffled heart sounds
Palpitations
Hives
Splinter hemorrhages
The Correct Answer is D
A. Muffled heart sounds are associated with pericardial effusion or tamponade, not infective endocarditis.
B. Palpitations can occur but are not a classic sign of infective endocarditis.
C. Hives suggest an allergic reaction, not endocarditis.
D. Splinter hemorrhages (tiny, red-brown streaks under the nails) are a classic sign of infective endocarditis due to small emboli from the infected heart valves.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Hypernatremia is incorrect. Furosemide can cause hyponatremia rather than hypernatremia due to increased sodium excretion.
B. Hypocalcemia is incorrect. While loop diuretics can cause some calcium loss, hypocalcemia is less common than hypokalemia.
C. Hypokalemia is correct. Furosemide is a loop diuretic that increases potassium excretion, leading to a risk of hypokalemia, which can cause muscle weakness, arrhythmias, and other complications.
D. Hyperkalemia is incorrect. Furosemide promotes potassium excretion, making hyperkalemia unlikely.
Correct Answer is C
Explanation
A. Holding all medications is not necessary; only certain medications that affect heart rate or blood pressure are held.
B. Keflex (Cephalexin) is an antibiotic and does not affect stress test results, so it should not be held.
C. Tenormin (Atenolol) is a beta-blocker that reduces heart rate and can interfere with the stress test by blunting the expected heart rate response. Beta-blockers are typically held before an exercise stress test.
D. Heparin is an anticoagulant and does not impact the stress test results.
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