The nurse is assessing a patient's risk for developing infective endocarditis. Which of the following findings would put the patient at the greatest risk for developing this disorder?
1. renal failure
2. coronary artery disease
3. heart failure
4. rheumatic heart disease
4
Rationale: Infective endocarditis is caused initially by damage to the endothelium of the heart valve, such as that with congenital diseases one of which is rheumatic heart disease. The other choices would not put the patient at the greatest risk for developing this disorder.
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As the nurse enters a patient's room, the nurse finds her crying. The patient states that she has just found out that the lump in her breast is cancer and says, "I'm so afraid of, um, you know."
The nurse's most therapeutic response would be to say in a gentle manner: a. "You're afraid you might lose your breast?" b. "No, I'm not sure what you are talking about." c. "I'll wait here until you get yourself under control, and then we can talk." d. "I can see that you are very upset. Perhaps we should discuss this later."
The health care provider has explained to a patient that he has an inflammation of the Cowper's glands. Where are the Cowper glands located?
A) Within the epididymis B) Below the prostate, within the posterior aspect of the urethra C) Within the anterior aspect of the urethra, just above the prostate D) Near the urethra, alongside the vas deferens
The nurse is planning a community health program to improve awareness of renal disease as one of the 2020 National Health Goals. What information should the nurse include in this program? (Select all that apply.)
A) Instruct on organ transplantation procedures. B) Explain the importance of restricting fluids after 6 PM. C) Review recommended foods to promote renal functioning. D) Teach to limit the intake of milk and dairy products with meals. E) Remind parents to provide antibiotics for streptococcal throat infections.
A 55-year-old post-menopausal woman with a history of hypertension complains of jaw pain on heavy exertion. There were no complaints of chest pain. Her ECG indicates normal sinus rhythm without ST segment abnormalities. Your plan may include
A. Echocardiogram B. Exercise stress test C. Cardiac catheterization D. Myocardial perfusion imaging