Which information should the nurse consider when planning care for patients at risk for endocarditis?

1. Endocarditis does not pose a high risk for damage to affected heart valves.
2. The major treatment modality for endocarditis is open heart surgery to clean the heart valves.
3. Fever is a rare manifestation of endocarditis.
4. Endocarditis can be prevented in patients at risk by administering antibiotics prior to procedures.


4
Rationale 1: Endocarditis carries a serious risk for damage to heart valves.
Rationale 2: Surgery to clean valves may be necessary, but it is not the major treatment modality.
Rationale 3: Fever occurs in about 90% of patients with endocarditis.
Rationale 4: Prophylactic antibiotic therapy can prevent endocarditis in those at risk for developing the disease.

Nursing

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A client diagnosed with bipolar disorder is starting the first family therapy session. The nurse knows the client's children, aged 2 and 4, will:

1. Not be included in the therapy session. 2. Help the client acclimate to the mental health clinic. 3. Benefit from the therapy session. 4. Help the client understand the importance of getting well.

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The nurse is caring for a patient who is unable to take oral medications because of persistent nausea and vomiting. The nurse decides to call the primary care physician and ask for a different medication administration route. This demonstrates the act of:

a. collaboration. b. delegation. c. assertiveness. d. advocacy.

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An elderly client arrives in the clinic complaining of dyspnea, weight gain, chest pain, and increasing edema of the lower extremities. The client's blood pressure is elevated. The nurse discovers the client has a history of heart failure

The nurse questions the client regarding which of the following that may best help with determining why the client is currently having health problems? 1. "Have you attended any recent family or social gatherings?" 2. "Have you been out of the country lately?" 3. "Are you married?" 4. "Do you have grandchildren that you babysit?"

Nursing

Bupivacaine contains a black box warning against epidural use of 0.75% concentration during labor and delivery. Why is the 0.75% concentration of bupivacaine contraindicated for this use?

A. Convulsions may occur. B. Cardiac arrest with difficult resuscitation may occur. C. Ischemia and gangrene may occur. D. None of the above are true.

Nursing