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 A
Explanation
Rationale:
A. Encouraging the client to participate in the cardiac rehab program is important for recovery and returning to an active lifestyle.
B. Acknowledging the doctor's expertise is important, but it does not address the client's concerns.
C. This statement may minimize the client's concerns and is not the best response.
D. This statement is not specific and may not address the client's concerns.
Correct Answer is B
Explanation
Rationale:
A. This describes a second-degree heart block, specifically Mobitz Type I (Wenckebach).
B. A PR interval greater than 0.20 seconds is characteristic of first-degree heart block.

C. This describes third-degree heart block, also known as complete heart block.
D. An irregular R-R interval is not specific to first-degree heart block.
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