Author Question: The nurse is assessing a child with suspected infective endocarditis. Which of the following ... (Read 92 times)

JGIBBSON · **on:** Jun 27, 2018

The nurse is assessing a child with suspected infective endocarditis. Which of the following assessment findings would the nurse interpret as a sign of extracardiac emboli?

A) Pruritus
B) Roth spots
C) Delayed capillary refill
D) Erythema marginatum

Question 2

The nurse is conducting a physical examination of a child with a suspected cardiovascular disorder. Which of the following findings would the nurse most likely expect to assess if the child had transposition of the great vessels?

A) Significant cyanosis without presence of a murmur
B) Abrupt cessation of chest output with an increase in heart rate/filling pressure
C) Soft systolic ejection
D) Holosystolic murmur

frankwu0507 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Feedback:
Roth 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.

Answer to Question 2

A
Feedback:
Significant cyanosis without presence of a murmur is highly indicative of transposition. Abrupt cessation of chest output accompanied by an increase in heart rate and filling pressure is indicative of cardiac tamponade. A soft systolic ejection or holosystolic murmur can be found with other disorders, such as hypoplastic left heart syndrome, but is not highly suspicious of transposition.