Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
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Chapter 23, Caring for Clients With Infectious and Inflammatory
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 231. | The nurse is performing client teaching with a client who has just been diagnosed with cardiomyopathy. What instructions should the nurse provide a client with cardiomyopathy to avoid pulmonary complications that may compromise cardiopulmonary function? |
| A) | Stay within the level of exercise tolerance. |
| B) | Receive yearly vaccinations. |
| C) | Eat a diet high in sodium. |
| D) | Keep appointments for medical follow-up. |
| Ans: | B |
| Feedback: | |
| The nurse should instruct the client to receive the pneumonia vaccine and yearly influenza vaccinations to avoid pulmonary complications that may compromise cardiopulmonary function. Staying within the level of exercise tolerance does not help to avoid pulmonary complications. Eating a diet high in sodium causes water retention and therefore makes the client at risk for pulmonary edema, pneumonia, etc. The client should keep appointments for medical follow-up to evaluate the status of the disease and symptom control. |
| 2. | The instructor is talking with a nursing student who is caring for a client with pericarditis. The instructor asks the student to name the main characteristic of pericarditis. What should be the student’s answer? |
| A) | Precordial pain |
| B) | Dyspnea |
| C) | Fever |
| D) | Respiratory symptoms |
| Ans: | A |
| Feedback: | |
| Precordial pain is the main characteristic of pericarditis. Dyspnea, fever, and respiratory symptoms are not the main characteristics of pericarditis. |
| 3. | The nurse is instructing a new graduate nurse. Together, they are caring for a client with infective endocarditis. What is a sign of infective endocarditis? |
| A) | Homan’s sign |
| B) | Splinter hemorrhage |
| C) | Precordial pain |
| D) | Heart murmur |
| Ans: | B |
| Feedback: | |
| Splinter hemorrhage, black longitudinal lines, can be seen in the nails of the clients with endocarditis. Homan’s sign is found in the clients with thrombophlebitis. A heart murmur is the first abnormal sign detected in clients with cardiomyopathy. Precordial pain is the main characteristic of pericarditis. |
| 4. | A young mother brings her 4-year-old in to the pediatric clinic with a mild fever and a red, spotty rash that is beginning to fade. The child’s heart rate is rapid, and the rhythm is abnormal. The mother states the child has been healthy until about 3 weeks ago when the child had a sore throat. You suspect rheumatic carditis. What organism causes rheumatic carditis? |
| A) | Group A beta-hemolytic strep |
| B) | Staphylococcus aureus |
| C) | Streptococcus viridians |
| D) | Epstein-Barr virus |
| Ans: | A |
| Feedback: | |
| The inflammatory symptoms of rheumatic carditis are believed to be induced by antibodies originally formed to destroy the group A beta-hemolytic streptococcal microorganisms. Staphylococcus aureus and Streptococcus viridians are associated with infectious endocarditis. The Epstein-Barr virus is associated with myocarditis. |
| 5. | You are caring for a client with thrombophlebitis. When assessing this client, what would be most important to assess for? |
| A) | Chest pain and dyspnea |
| B) | Leg pain and swollen calf |
| C) | Mottled coloring of leg and foot |
| D) | Capillary refill of extremity |
| Ans: | A |
| Feedback: | |
| Consult with the client about chest pain and dyspnea, which are hallmarks of PE, a complication of thrombophlebitis. All answers are correct, however, assessing for chest pain and dyspnea, signs of a PE, would be most important. |
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