A client comes in for a preoperative workup for heart surgery. While assessing her medical history, she states she had rheumatic fever as a child
a. Discuss the relationship between rheumatic fever and rheumatic carditis. What is the causative agent?
b. How are the valves affected?
c. Discuss testing and if there is any diagnostic test to conclusively identify rheumatic fever.
d. What is the sequela to this condition?
Students' answers should include the following:
a. Included in the discussion should be the effect the beta-hemolytic streptococcal bacteria have on the cardiac tissue, what other tissue is affected, and what damage is seen to the heart tissue during and after the inflammatory process.
b. Discussion should include antibodies and the leaflets, chordae tendineae, myosin, and risks for future infections.
c. Discussion should lead in the direction of laboratory findings and clinical signs, such as structural changes and the heart's ability to contract.
d. Discussion here should lead into the other areas affected such as the joints, layers of the heart, chorea, rash, nodules, etc.
You might also like to view...
The circulating nurse in an outpatient surgery center is assessing a patient who is scheduled to receive moderate sedation. What principle should guide the care of a patient receiving this form of anesthesia?
A) The patient must never be left unattended by the nurse. B) The patient should begin a course of antiemetics the day before surgery. C) The patient should be informed that he or she will remember most of the procedure. D) The patient must be able to maintain his or her own airway.
Another name for an eligible voter is a _________
Fill in the blank with the correct words.
Which of the following is the most likely cause of bloody discharge from the nipple?
A) Breast cancer B) Interductal papilloma C) Fibrocystic breast disease D) Side effect of medication
The nurse supervisor is planning a meeting for members of the nursing staff, and wants to describe the word "team" when describing the desired behavior for the staff. Which definition is appropriate to use in this description for the meeting?
1. A team always needs a leader to coordinate activities. 2. A team is a group of more than three people. 3. All members of the team contribute their talents. 4. Teams consist of members from the same job level.