NUR 241 Cardiac II QUESTIONS WITH
100% VERIFIED ANSWERS!!
Patient presents to the ED with a low-grade fever, chills, malaise, and fatigue while
having a history of valve disease. What do you suspect? - Correct Answer-infective
endocarditis
Patient with history of infective endocarditis presents with reddish purple pea sized
lesions on their lips, ankles, and feet. What is this called? - Correct Answer-Osler's
nodes
Patient with history of infective endocarditis presents with purple macules that are flat
and cover the palms and soles of feet. What are these? - Correct Answer-Janeway's
lesions
Your patient with acute pericarditis receives the results of their labs to find out that
Coxsackie A was the causative organism. Is this viral, bacterial, or fungal? - Correct
Answer-viral
Patient is admitted to ED with dyspnea, sharp pain on inspiration and cannot lie flat.
What do you suspect? - Correct Answer-pericarditis
Your patient with pericarditis needs to be assessed for a pericardial friction rub. How do
you listen for this? - Correct Answer-with the diaphragm at the lower left sternal border
lightly against the thorax while the patient is leaning forward, holding their breath. also
known as the tricuspid area
general treatment for pericarditis? - Correct Answer-antibiotics and NSAIDs such as
aspirin or ibuprofen for pain and inflammation
Your patient admitted for pericarditis becomes agitated, tachy, has jugular vein
distention, muffled heart sounds, and a decrease is their systolic BP with inspiration.
What do you suspect? - Correct Answer-cardiac tamponade
which valve disorder is most like left sided heart failure and why? - Correct Answer-
mitral valve stenosis, because the forward blood flow to the body is impeded by the
stenotic mitral valve, causing low CO
why would a patient with mitral valve stenosis be hoarse and have hemoptysis? -
Correct Answer-because the enlargement of the atrium is pushing down on their
laryngeal nerve and causing irritation
