Chapter 36: Inflammatory and Structural Heart Disorders

MULTIPLE CHOICE

1. Question: The nurse obtains a health history from a 65-year-old patient with a prosthetic mitral valve who has symptoms of infective endocarditis (IE). Which question by the nurse is most appropriate?
2. Question: During the assessment of a 25-year-old patient with infective endocarditis (IE), the nurse would expect to find
3. Question: The nurse identifies the nursing diagnosis of decreased cardiac output related to valvular insufficiency for the patient with infective endocarditis (IE) based on which assessment finding(s)?
4. Question: When planning care for a patient hospitalized with a streptococcal infective endocarditis (IE), which intervention is a priority for the nurse to include?
5. Question: A patient is admitted to the hospital with possible acute pericarditis. The nurse should plan to teach the patient about the purpose of
6. Question: To assess the patient with pericarditis for evidence of a pericardial friction rub, the nurse should
7. Question: The nurse suspects cardiac tamponade in a patient who has acute pericarditis. To assess for the presence of pulsus paradoxus, the nurse should
8. Question: The nurse has identified a nursing diagnosis of acute pain related to inflammatory process for a patient with acute pericarditis. The priority intervention by the nurse for this problem is to
9. Question: The nurse is admitting a patient with possible rheumatic fever. Which question on the admission health history will be most pertinent to ask?
10. Question: A patient with rheumatic fever has subcutaneous nodules, erythema marginatum, and polyarthritis. Based on these findings, which nursing diagnosis would be most appropriate?
11. Question: The nurse establishes the nursing diagnosis of ineffective health maintenance related to lack of knowledge regarding long-term management of rheumatic fever when a 30-year-old recovering from rheumatic fever without carditis says which of the following?
12. Question: When developing a community health program to decrease the incidence of rheumatic fever, which action would be most important for the community health nurse to include?
13. Question: When caring for a patient with mitral valve stenosis, it is most important that the nurse assess for
14. Question: A 21-year-old woman is scheduled for percutaneous transluminal balloon valvuloplasty to treat mitral stenosis. Which information should the nurse include when explaining the advantages of valvuloplasty over valve replacement to the patient?
15. Question: While caring for a 23-year-old patient with mitral valve prolapse (MVP) without valvular regurgitation, the nurse determines that discharge teaching has been effective when the patient states that it will be necessary to
16. Question: While caring for a patient with aortic stenosis, the nurse identifies a nursing diagnosis of acute pain related to decreased coronary blood flow. A priority nursing intervention for this patient would be to
17. Question: During discharge teaching with a 68-year-old patient who had a mitral valve replacement with a mechanical valve, the nurse instructs the patient on the
18. Question: A patient recovering from heart surgery develops pericarditis and complains of level 6 (0 to 10 scale) chest pain with deep breathing. Which ordered PRN medication will be the most appropriate for the nurse to give?
19. Question: When caring for a patient with infective endocarditis of the tricuspid valve, the nurse should monitor the patient for the development of
20. Question: A patient admitted with acute dyspnea is newly diagnosed with dilated cardiomyopathy. Which information will the nurse plan to teach the patient about managing this disorder?
21. Question: The nurse is obtaining a health history from a 24-year-old patient with hypertrophic cardiomyopathy (HC). Which information obtained by the nurse is most important?
22. Question: The nurse will plan discharge teaching about the need for prophylactic antibiotics when having dental procedures for which patient?
23. Question: Which admission order written by the health care provider for a patient admitted with infective endocarditis (IE) and a fever would be a priority for the nurse to implement?
24. Question: Which assessment finding in a patient who is admitted with infective endocarditis (IE) is most important to communicate to the health care provider?
25. Question: Which assessment finding obtained by the nurse when assessing a patient with acute pericarditis should be reported immediately to the health care provider?
26. Question: The nurse is caring for a 78-year-old patient with aortic stenosis. Which assessment data obtained by the nurse would be most important to report to the health care provider?
27. Question: Two days after an acute myocardial infarction (MI), a patient complains of stabbing chest pain that increases with a deep breath. Which action will the nurse take first?
28. Question: The nurse is caring for a 64-year-old patient admitted with mitral valve regurgitation. Which information obtained by the nurse when assessing the patient should be communicated to the health care provider immediately?
29. Question: Which action by the nurse will determine if the therapies ordered for a patient with chronic constrictive pericarditis are effective?
30. Question: Which statement by a patient with restrictive cardiomyopathy indicates that the nurses discharge teaching about self-management has been most effective?
31. Question: The nurse is assessing a patient with myocarditis before administering the scheduled dose of digoxin (Lanoxin). Which finding is most important for the nurse to communicate to the health care provider?
32. Question: After receiving report on the following patients, which patient should the nurse assess first?
33. Question: After receiving the following information about four patients during change-of-shift report, which patient should the nurse assess first?
34. Question: Which action could the nurse delegate to unlicensed assistive personnel (UAP) trained as electrocardiogram (ECG) technicians working on the cardiac unit?
35. Question: The nurse is caring for a patient with mitral regurgitation. Referring to the figure below, where should the nurse listen to best hear any murmur that the patient has?