A nurse is caring for a patient diagnosed with infectious endocarditis. The nurse is aware that which of the following are potential assessment findings? (SELECT ALL THAT APPLY)

Osler Nodes

Splinter Hemorrhages

Petechial Hemorrhaging

Janeway Lesions

Fever with Chills

Answer and Explanation

Correct Answer : A,B,C,D,E

A. Osler Nodes – These are tender, painful nodules on the fingers and toes, a classic sign of infective endocarditis.
B. Splinter Hemorrhages – Tiny blood clots under the fingernails occur due to microembolization from infected heart valves.
C. Petechial Hemorrhaging – Small red or purple spots on the skin or mucous membranes occur due to embolization of infected material.
D. Janeway Lesions – Painless, flat, red spots on the palms and soles caused by microemboli.
E. Fever with Chills – A common systemic symptom due to infection and inflammation.

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Correct Answer is C

Explanation

A. Nitroglycerin is used for angina and does not interact with contrast material or increase the risk of acute kidney injury.
B. Atorvastatin, a statin medication, is not known to interact with contrast dye or cause kidney injury in this context.
C. Metformin is contraindicated with contrast dye because it can increase the risk of lactic acidosis, especially in clients with impaired renal function. It should be withheld before and after the procedure to prevent complications.
D. Carvedilol, a beta-blocker, is used for blood pressure and heart failure management but does not interfere with contrast dye.

Correct Answer is []

Explanation

Worsening of congestive heart failure is suggested by symptoms including labored breathing, coarse crackles, jugular vein distention (JVD), cool/clammy skin, and low oxygen saturation. These findings indicate pulmonary congestion due to fluid overload.
Applying O₂ at 6L/min helps improve oxygenation and alleviate respiratory distress. Lower-flow oxygen (such as 2L/min) may not be sufficient in acute heart failure exacerbation.
Monitoring respiratory rate is essential to track breathing effort and response to treatment.
Monitoring oxygen saturation helps assess oxygenation status and effectiveness of interventions.
Smoking cessation is important for long-term lung and cardiovascular health but does not address the acute issue.
WBC count and temperature are more relevant to infections like pneumonia rather than acute heart failure.

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A nurse is caring for a patient diagnosed with infectious endocarditis. The nurse is aware that which of the following are potential assessment findings? (SELECT ALL THAT APPLY)

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Naxlex Comprehensive Predictor Exams

A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury?

Correct Answer is C

Explanation

Correct Answer is []

Explanation

Identify the following Cardiac Rhythm:

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