The nurse identifies the nursing diagnosis of decreased cardiac ...

[pepyto]

The nurse identifies the nursing diagnosis of decreased cardiac output related to valvular insufficiency for the patient with infective endocarditis (IE) based on which assessment finding(s)?
 
  a. Fever, chills, and diaphoresis
  b. Urine output less than 30 mL/hr
  c. Petechiae on the inside of the mouth and conjunctiva
  d. Increase in heart rate of 15 beats/minute with walking

Question 2

During the assessment of a 25-year-old patient with infective endocarditis (IE), the nurse would expect to find
 
  a. substernal chest pressure.
  b. a new regurgitant murmur.
  c. a pruritic rash on the chest.
  d. involuntary muscle movement.

[Eunice618]

Answer to Question 1

ANS: B
Decreased renal perfusion caused by inadequate cardiac output will lead to decreased urine output. Petechiae, fever, chills, and diaphoresis are symptoms of IE, but are not caused by decreased cardiac output. An increase in pulse rate of 15 beats/minute is normal with exercise.

Answer to Question 2

ANS: B
New regurgitant murmurs occur in IE because vegetations on the valves prevent valve closure. Substernal chest discomfort, rashes, and involuntary muscle movement are clinical manifestations of other cardiac disorders such as angina and rheumatic fever.

[pepyto]

Thank you

[Eunice618]

No problemo