Week 3: Cardiac Quiz
When a client with a heart murmur reports gaining weight in spite of nausea and anorexia, which additional information is the priority to obtain?
Presence of a cough and exertional dyspnea
A client presents to the emergency department with a heart rate of 180. An EKG reveals that the client's heart rhythm is supraventricular tachycardia (SVT). The client is given diltiazem. Which assessment indicates to the nurse that the diltiazem is effective?
Heart rate of 120 bpm
Which physical examination finding would the nurse expect when assessing an infant with a ventricular septal defect (VSD)?
Murmur at the left sternal border
When the nurse is obtaining the health history for a client with suspected mitral valve stenosis, which question will be most relevant to ask?
"Did you ever have strep throat during childhood?"
Which statement made by the client indicates a need for further understanding regarding the use of Colchicine after being hospitalized with pericarditis?
"I like to take all my medications in the morning with grapefruit juice."
A nurse is doing discharge teaching to a client who has had a mitral valve replacement. Which client statement indicates a need for more education?
"I will start a vigorous aerobic exercise program."
What education would the nurse perform regarding pulmonic stenosis to the parent of a recently diagnosed 4-year-old child?
"Pulmonic stenosis is the narrowing of the valve between the right ventricle and the pulmonary artery."
Which of the following client is at MOST risk for developing endocarditis?
A 22 year old male who reports using intravenous heroin for over a year.
What would be covered in the discharge teaching for a 32-year-old client who has had mitral valve replacement with a mechanical valve?
Anticoagulation therapy
Which condition unrelated to cardiac disease is the major cause of right ventricular failure?
Chronic obstructive pulmonary disease
Which nursing intervention is NOT recommended when providing care to a client with pericarditis?
Lay the client flat in response to complaints of pain
A client is admitted to the pre-anesthesia clinic for preparation for an aortic valve replacement. Which finding by the nurse is most important to communicate to the health care provider?
Multiple dental caries
During a focused cardiac assessment, the nurse auscultates a murmur at the second left intercostal space along the sternal border. Which valve is being auscultated?
Pulmonic valve
A client is admitted with a diagnosis of infective endocarditis. She calls the nurse, complaining of sharp radiating abdominal pain that goes to the left shoulder and back and rates it 8/10 on the visual acuity pain scale. What is the most likely cause of the client's chest pain?
Splenic embolic event
A 2 year old client with a congenitial cardiac condition is awaiting corrective surgery. Prophylactic antibiotics are prescribed. Which condition is likely to be prevented?
Subacute bacterial endocarditis
The student nurse notices reddish linear streaks in the nail bed of the client during a head-to-toe assessment. Which systemic condition would the preceptor suspect in the client based on these assessment findings?
Subacute bacterial endocarditis (yes again lol)
A client is admitted with a temperature of 103.2 F and signs of SIRS. The client complains of shortness of breath and fatigue. On assessment, you note a mitral murmur which is new for the client. The patient has a history of IV drug use in the past. What diagnostic test is most likely able to confirm the presence of infective endocarditis?
Transesophageal echocardiogram
A client with pericarditis may have elevations in which inflammatory markers?
WBC, ESR, CRP
Which is an expected finding in a client with pericarditis?
sharp, rapid onset chest pain that is relieved when the client leans forward
A 42 year old female is being discharged after treatment for infective endocarditis with IV antibiotics. A PICC line is placed for a 5 week antibiotic regime along with a consult for home health. What is type of infective endocarditis this classified as based on the information listed?
subacute infective endocarditis