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. Petechiae are small, pinpoint red or purple spots on the skin that may indicate bleeding or thrombocytopenia, which can be a side effect of heparin therapy.
B. Slowing pulse rate is not typically associated with heparin therapy.
C. Confusion is not typically associated with heparin therapy.
D. Pruritus (itching) is not typically associated with heparin therapy.
Correct Answer is A
Explanation
Rationale:
A. Elevated Troponins indicate myocardial injury or infarction.
B. Elevated Creatine kinase (CK) is an enzyme found in skeletal muscle, brain, and myocardium. Elevated levels can indicate muscle damage.
C. Elevated Hemoglobin is not specific to cardiac injury.
D. Elevated B-type Natriuretic peptide (BNP) is used in the diagnosis and management of heart failure.
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