ATI med surg ch 34: inflammation disorders questions

A nurse is reviewing discharge teaching with a client who has myocarditis. What should the nurse include in the teaching? Use the ATI Active Learning Template: System Disorder to complete this item. CLIENT EDUCATION ● Identify at least two referral facilities and the services they can provide. ● Describe at least four actions the client should take when at home.

CLIENT EDUCATION Referral facilities ● Home health: postoperative care, home administration of intravenous antibiotic therapy ● Pharmaceutical services: intravenous antibiotic therapy, provision of supplies and medications ● Rehabilitation services: assistance with monitoring and increasing activity level Client discharge activities ● Rest as needed. ● Wash hands to prevent infection. ● Avoid crowded areas to reduce the risk of infection. ● Maintain good oral hygiene to prevent infection. ● Take medications as prescribed. ● Administer and manage IV antibiotics. ● Participate in a tobacco use cessation program.

1. A nurse is caring for a client who has pericarditis. Which of the following findings should the nurse expect? A. Petechiae B. Murmur C. Rash D. Friction rub

1. A. Petechiae are an expected finding in a client who has endocarditis. B. A murmur is an expected finding in a client who has myocarditis and endocarditis. C. Rash is an expected finding in a client who has rheumatic endocarditis. D. CORRECT: A friction rub can be heard during auscultation of a client who has pericarditis.

2. A nurse is caring for four clients. Which of the following clients should the nurse identify as being at risk of acquiring rheumatic endocarditis? A. Older adult who has chronic obstructive pulmonary disease B. Child who has streptococcal pharyngitis C. Middle-age adult who has lupus erythematosus D. Young adult who recently received a body tattoo

2. A. An older adult who has chronic obstructive pulmonary disease is not at risk for rheumatic endocarditis unless he develops rheumatic fever. B. CORRECT: A child who has streptococcal pharyngitis is at risk for developing rheumatic fever which could result in rheumatic endocarditis. C. A middle-age adult who has lupus erythematosus is not at risk for rheumatic endocarditis unless he develops rheumatic fever. D. A young adult who receives a body tattoo is at increased risk for infective endocarditis but is not at risk for rheumatic endocarditis unless he develops rheumatic fever.

3. A nurse in a clinic is caring for a client who has been on long-term NSAID therapy to treat myocarditis. Which of the following laboratory findings should the nurse report to the provider? A. Platelets 100,000/mm3 B. Serum glucose 110 mg/dL C. Serum creatinine 0.7 mg/dL D. Amino alanine transferase (ALT) 30 IU/L

3. A. CORRECT: Long-term NSAID therapy can lower platelets. This finding is outside the expected reference range and should be reported to the provider. B. Serum glucose is not affected by long-term NSAID therapy. This finding is within the expected reference range. C. Kidney function, which is monitored by serum creatinine level, is affected by long-term NSAID therapy. This finding is within the expected reference range. D. Liver function, which is monitored by the ALT level, is affected by long-term NSAID therapy. This finding is within the expected reference range.

4. A nurse is assessing a client who has splinter hemorrhages in her nail beds and reports a fever. The nurse should identify these findings as manifestations of which of the following disorders? A. Infective endocarditis B. Pericarditis C. Myocarditis D. Rheumatic endocarditis

4. A. CORRECT: Splinter hemorrhages in nail beds and a report of fever are findings associated with infective endocarditis. B. A client who has pericarditis would report chest pain. C. A client who has myocarditis would report a rapid heart rate. D. A client who has rheumatic endocarditis would report joint pain.

5. A nurse is admitting a client who has suspected rheumatic endocarditis. The nurse should anticipate a prescription from the provider for which of the following laboratory tests to assist in confirmation of this diagnosis? A. Arterial blood gases B. Serum albumin C. Liver enzymes D. Throat culture

5. A. Arterial blood gases are used to monitor the respiratory status of a client who has suspected rheumatic endocarditis, but they do not confirm the diagnosis. B. Serum albumin monitors the nutrition status of a client who has a suspected inflammatory disorder, but it does not confirm the diagnosis. C. Liver enzymes monitor a client's response to antibiotic therapy, which is used to treat rheumatic endocarditis, but they do not confirm the diagnosis. D. CORRECT: A throat culture can reveal the presence of streptococcus, which is the leading cause of rheumatic endocarditis.