The nurse is assessing a child with suspected infective endocarditis. Which of the following would lead the nurse to suspect extracardiac emboli?
A) Wheezing and pruritus
B) Roth's spots
C) Delayed capillary refill
D) Erythema marginatum
B
Response:
Roth's spots are splinter hemorrhages with pale centers on the sclerae, palate, buccal mucosa, chest, fingers, or toes and are signs of extracardiac emboli. Delayed capillary refill time does not point to extracardiac emboli. Wheezing and pruritus are indicative of a hypersensitivity reaction. Erythema marginatum is a classic rash associated with acute rheumatic fever.
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