The nurse is obtaining the admission health history for a young adult who presents with fever, dyspnea, and a murmur. What priority data does the nurse inquire about?
a. Family history of coronary artery disease
b. Recent travel to Third World countries
c. Pet ownership, especially cats with litter boxes
d. History of a systemic infection within the past month
D
The clinical manifestations suggest infective endocarditis, which can occur within 2 to 4 weeks after a systemic infection or bacteremia. Assessing for coronary artery disease, recent travel, or pet ownership is not related to endocarditis.
You might also like to view...
The nurse is assessing a patient with hyperparathyroidism who is taking digoxin (Lanoxin). For what should the nurse assess this patient?
1. toxic effects of digoxin (Lanoxin) 2. evidence the medication dose needs to be increased 3. onset of polyuria 4. muscle weakness and atrophy
A nurse is providing care for a Mexican client who has sustained a farm injury. If a major deci-sion about the client's treatment needs to be made, who would most likely make that decision?
a. The male head of the family b. The wife/mother c. The person needing services d. The crew leader
The major advantage that preferred provider organization (PPO) payment systems have over HMOs is that the PPOs:
a. Extend benefits beyond the use of their services at an increased rate b. Require copayment fees each time a ser-vice is rendered c. Have services that are used by a smaller number of clients, which reduces the wait for services d. Have a system that reduces costs more
A nurse is teaching a patient how to use phenylephrine (Neo-Synephrine) nasal spray. To avoid systemic absorption, the nurse teaches the patient to perform which action?
a. Apply pressure to the nose after spraying. b. Administer the spray while in the supine position. c. Insert the spray while sitting up. d. Exhale deeply while injecting the nasal spray.