Midterm Exam: NR571 / NR 571 (Latest Update 2024 / 2025) Complex Diagnosis and Management in Acute Care Practicum | Questions & Answers | 100% Correct | Grade A - Chamberlain
1 view 0 purchase
Module
NR 571 (NR571)
Institution
Chamberlain College Of Nursing
Midterm Exam: NR571 / NR 571 (Latest Update 2024 / 2025) Complex Diagnosis and Management in Acute Care Practicum | Questions & Answers | 100% Correct | Grade A - Chamberlain
Question:
Diagnosis of _____ should be considered an excluded in all patients with ________________ and ____________...
Midterm Exam: NR571 / NR 571
(Latest Update ) Complex
Diagnosis and Management in Acute
Care Practicum | Questions &
Answers | 100% Correct | Grade A -
Chamberlain
Question:
Diagnosis of _____ should be considered an excluded in all patients with
________________ and ________________.
Answer:
IE
Heart murmur
Fever of unknown origin
Question:
Diagnostic testing for IE
Answer:
Echocardiogram
Chest x-ray
,Labs: CBC, CMP, CRP/ESR, blood cultures
Serum titers for suspected infectious etiologies, as well as testing for TB
exposure to narrow differential
Question:
Patient was suspected infectious. endocarditis should be treated as having
endocarditis until.....
Answer:
.... The diagnosis can be excluded.
Question:
Ways to definitively diagnose infectious endocarditis
Answer:
-demonstrating microorganisms by culture or histology and vegetations
removed via surgery or drainage of intra-cardial abscess
-Modified Duke Criteria for the Diagnosis of Infective Endocarditis**
**gold standard diagnostic criteria
Question:
Modified Duke Criteria for the Diagnosis of Infective Endocarditis
Answer:
A clinical diagnosis can be made with documentation of one of the following
(2 major criteria, 1 major criterion, and 3 minor criteria; or 5 minor criteria):
,Major criteria :
-2 blood cultures (+) for positive organism out of at least 3 separate blood
cultures drawn from 3 separate sites within 1 hr
-Blood cultures persistently positive for an organism from cultures, drawn
more than 12 hrs apart
-Echo positive for IE, documented by an oscillating intracardiac mass on a
valve or supporting structure in the path of regurgitant jets, or an implanted
material in the absence of an alternative anatomical explanation
-myocardial abscess
-Development of partial dehiscence of a prosthetic valve
-New onset valvular regurgitation
Minor Criteria:
-predisposing heart condition or IV drug use
-fever of 38°C (100.4°F) or higher
-vascular phenomenon, including major arterial emboli, septic pulmonary
infarcts, mycotic aneurysm, intracranial hemorrhage, conjunctival
hemorrhage, or Janeway lesions
-immunological phenomena such as glomerulonephritis, Osler nodes, Roth
spots, and rheumatoid factor
-positive blood culture results not meeting major criteria or serologic
evidence of active infection with an organism consistent with IE
-echocardiogram results consistent with IE but not meeting "major"
echocardiographic
, Question:
Consult for infectious endocarditis
Answer:
Cardiology and infectious disease
Question:
Treating infective endocarditis in the critically ill patient
Answer:
A minimum of three cultures from different venipuncture sites should be
drawn over one hour before starting starting empiric therapy
Question:
Treating suspected infective endocarditis in non-critically ill patients
Answer:
Antibiotic initiation can be delayed until the results of blood cultures and
echocardiogram are available
Question:
Empiric Antibiotic regimen for infective endocarditis
Answer:
Vancomycin
or
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller quiz_bit. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £6.32. You're not tied to anything after your purchase.
