Med-Surge (Infectious Diseases)

Create an educational illustration depicting a nurse caring for a patient with rheumatic fever and infective endocarditis, showing relevant medical equipment and diagrams related to heart health.

Rheumatic Fever and Infective Endocarditis Quiz

Test your knowledge on Rheumatic Fever and Infective Endocarditis with this comprehensive quiz designed for healthcare professionals and students alike. This quiz covers essential aspects of diagnosis, treatment, and nursing care related to these infectious diseases.

Key features of the quiz:

22 detailed questions
Multiple choice format for easy participation
Focus on clinical manifestations and nursing interventions

22 Questions6 MinutesCreated by CaringHeart235

On admission, the nurse prepares to ask the mother which question to elicit assessment information specific to the development of rheumatic fever?

."Did the child have a sore throat or an unexplained fever within the last 6 weeks?"

."Has the child complained of backache?"

."Has the child had any loss of appetite?"

"Did the child experience gastrointestinal disturbance?"

The nurse is aware that base on Jones Criteria the patient can be diagnosed with rheumatic fever if the patient has:

Painful joints with swelling fever and increased in number of platelets

Decrease in WBC count, presence of erythema marginatum, and increase excitement.

Carditis, fever and positive throat culture

Althralgia, fever, and malaise

.The client's mother asks the nurse about her son's disease condition. The nurse tells her that:

It is an acquired cell-mediated immunodeficiency disorder

It is a rapidly progressing infection that is caused by streptococci type B

It is an inflammatory process that results to enlargement of the valves

It is response to infection by group A Beta-hemolytic streptococci.

The following are goals of interventions for patient with rheumatic fever except one:

Eradicating infection

Maximizing cardiac output

Promoting comfort

Achieving normalization of weight

Which of the following assessment findings would the patient least likely to manifest?

Fever

Chorea

Erythema Marginatum

Scabies

When assessing the pateint, the nurse would expect which of the following diagnostic test results to reveal?

Elevated ESR, Elevated C-reactive protein, increased Antistreptolysin O titer, Prolonged PR interval, positive throat culture (GAS)

Decreased ESR, Low C-reactive protein, decreasedAntistreptolysin O titer, Normal PR interval, negative throat culture (GAS)

Low ESR, Normal C-reactive protein, decreased Antistreptolysin O titer, Prolonged ST interval, positive throat culture (GAS)

None of the above

You are aware that his condition may lead to several complications. Which of the following complications will not be associated with Rheumatic fever?

Valvular damage

Endocarditis

Heart Failure

Coronary artery disease

The nurse would explain to the client's parents that the catabolism related to the hypermetabolic state caused by the client's fever can be avoided by eating a:

High-carbohydrate, high-protein diet

High-fat, high-protein diet

High-protein, low-carbohydrate diet

High-protein, low-sodium diet

To prevent bacterial endocarditis, the nurse would expect which of the following medications to be prescribed prior to any type of dental procedure as prophylaxis:

Enoxaparin (Lovenox)

Azathioprine (Imuran)

Metoprolol (Lopressor)

Amoxicillin (Amoxil)

(this will be used on the questions below this segment) Situation: A nurse is caring for Andrea, a 26 years old female, who has been diagnosed with Infective Endocarditis. She sought admission due to high fever and difficulty of breathing. (Refer to this situation for questions 10-12).

Uring assessment, the nurse expects to note which clinical manifestation of the disease?

Cracked lips

Presence of painful nodules on pads of fingers

Presence of migratory skin lesions

Gum bleeding

The nursing diagnosis in which of priority for Andrea considering her diagnosis would be:

Ective individual coping R/T chronic nature of the disease process

Decreased Cardiac output R/T cardiac valve dysfunction

Knowledge deficit regarding the disease process and interventions.

Imbalanced nutrition: less than body requirements R/T anorexia and fever

Which of the following nursing interventions least likely to be implemented to Andrea?

Administer parenteral antibiotic therapy as ordered

Monitor oxygen saturation.

Monitor blood pressure and pulse.

Encourage active exercise to strengthen heart muscle.

SITUATION: Mr. Marco, diagnosed with myocarditis and complains of dyspnea, fatigue and precordial pain, is admitted at Chong Hua Hospital. Taking care of her is Nurse Alaina. (Refer to this situation for Questions 13-17)..... Question: When reviewing the doctor's orders for Mr. Marco, which of the following would likely be seen by Nurse Alaina?

Limit ambulation

Complete bed rest

An antipyretic agent

An immunosuppressive

In evaluating Mr. Marco's understanding, which statement if made by the client indicates an accurate information about myocarditis?

"I can resume my previous activities like playing tennis as soon as I'm discharged from the hospital."

I have to seek medical consult when I feel palpitations and increased fatigability."

"I need to increase my milk and dairy product intake."

"I need to double dose my medications when I'm having difficulty in breathing."

In the discharge teaching plan of the client, the nurse would include suggestion for prevention that:

Stairs at home be replaced with ramps

Family members should be screened for upper respiratory tract infection

Family members should have influenza and hepatitis vaccination

The client should not operate a motor vehicle

Nurse Alaina understands that the client's condition may affect the:

Layer of the heart lining the valves

Contractility of the heart's muscles

Rate of oxygenated blood produced by the lungs

Heart's ability to receive venous blood

The nurse is also aware that Mr. Marco's condition does not usually affect solely a single layer of the heart rather it commonly associated with:

A. Endocarditis

B. Epicarditis

C. Pericarditis

D. Choices A and C

Situation: A client diagnosed with infective endocarditis is seen during assessment with some lesions on the palms and sole of the feet and finger clubbing. (Refer to this situation for questions 18-20).... Question:The nurse is aware that these non-tender red spots on the patient's palms of the hands and soles of the feet are referred to as:

Roth's spots

Oslers nodes

Janeway's lesions

Splinter hemorrhages

The nurse caring for a client with acute infective endocarditis should assess the client for:

Oxygen saturation

Urine output

Cardiac murmurs

Lymph node enlargement

Several diagnostic tests were being ordered by patient's physician. Which of the following tests would be considered before initiation of treatment?

Red blood cell count

White blood cell count

Culture of blood and abscess

Blood biopsy

Med-Surge (Infectious Diseases)

Rheumatic Fever and Infective Endocarditis Quiz

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