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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. A high HDL level (above 60 mg/dL) is protective against cardiovascular disease and does not contribute to hypertension.
B. A regular exercise routine is beneficial for cardiovascular health and helps lower blood pressure rather than increasing it.
C. Benazepril is an angiotensin-converting enzyme (ACE) inhibitor used to treat hypertension rather than causing it.
D. Obstructive sleep apnea (OSA) is a known risk factor for hypertension due to intermittent hypoxia and increased sympathetic nervous system activity, which contribute to elevated blood pressure.

A. Ask the client if any other foods cause such a reaction. B. Notify the provider of the client's allergy. C. Notify the dietary department of the client's allergy. D. Attach a wrist band indicating the client's allergy.

Correct Answer is B

Explanation

A. While gathering more information about other allergies is useful, it is not the priority action.
B. The priority is to notify the provider because a shellfish allergy may indicate sensitivity to iodine-based contrast dye, which is used in cardiac catheterization. The provider may need to order premedication or an alternative contrast agent.
C. While notifying the dietary department is necessary for food allergies, it does not address the immediate concern of potential contrast dye reaction.
D. Attaching a wristband is important but should be done after the provider is notified and appropriate precautions are in place.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension?

Correct Answer is D

Explanation

The nurse asks a client who is about to have a cardiac catheterization about any allergies. The client states, "I always get a rash when I eat shellfish." Which of the following is the priority nursing action?

Correct Answer is B

Explanation

A nurse is caring for a client with chest pain who becomes unresponsive. The client is pulseless and apneic. The code team places the client on the monitor, which indicates ventricular fibrillation. What is the next priority action?

A nurse is caring for a client who is scheduled for an echocardiogram the following day. Which of the following information should the nurse include about the test?

A nurse is providing discharge instructions for a client diagnosed with congestive heart failure. Which of the following client statements indicates to the nurse that the teaching was effective?

A nurse is caring for a heart failure client with a history of dietary noncompliance. The nurse suspects the client has fluid volume overload. Which of the following findings should the nurse expect? (SELECT ALL THAT APPLY)

A nurse is caring for a client post-cardiac catheterization with a right femoral artery puncture site. The nurse is aware that which of the following findings needs to be reported to the interventional cardiologist as soon as it is identified?

Identify the following Cardiac Rhythm:

A nurse is caring for a client who is in pulseless ventricular tachycardia (V-Tach). The nurse recognizes the need for which priority intervention?