A nurse is caring for a client diagnosed with infective endocarditis. The nurse is aware that which of the following is the priority assessment finding for this patient?
Anorexia
Fever
Dyspnea
Malaise
The Correct Answer is B
Rationale:
A. Anorexia is a common symptom of infective endocarditis but is not typically the priority assessment finding.
B. Fever is a hallmark sign of infective endocarditis and should be monitored closely.
C. Dyspnea is a common symptom of infective endocarditis but is not typically the priority assessment finding.
D. Malaise is a common symptom of infective endocarditis but is not typically the priority assessment finding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A sinus tachycardia is characterized by a sinus P wave at a rate of more than 100 per minute followed by a narrow QRS complex unlike in the strip depicted above.
B. The above ECG strip shows a ventricular tachycardia based on the wide QRS with a rate more than 120 bpm, AV dissociation and the fusion beats.
C. A complete heart block is characterized by QRS complexes being conducted at their own rates and totally independent of the P wave.
D. An idioventricular rhythm is characterized by a slow regular ventricular rhythm with a rate less than 50 bpm unlike in the above strip. It also has a prolonged QRS interval with no P wave.
Correct Answer is D
Explanation
Rationale:
A. Synchronized cardioversion is not appropriate for pulseless ventricular tachycardia.
B. A repeat ECG is not necessary for pulseless ventricular tachycardia.
C. Assessment of blood pressure is not the priority in pulseless ventricular tachycardia.
D. Immediate defibrillation is the priority in pulseless ventricular tachycardia to restore a perfusing rhythm.
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