Week 12 BSN 366 Inflammatory and Structural Heart
Disorders Questions With Complete Solutions
Cardiomyopathy
Question 1 of 3
Match the type of cardiomyopathy with its associated history
finding.
Patient has a 12-year history of cocaine abuse.
Dilated cardiomyopathy
Patient works as a professional football player.
Hypertrophic cardiomyopathy
Patient was diagnosed with sarcoidosis 6 years ago.
Restrictive cardiomyopathy Correct Answer
Inflammatory Heart Diseases:
Question 1 of 3
What is the most common causative agent contributing to the
development of infective endocarditis (IE)?
Aspergillus fumigatus
Staphylococcus aureus
Clostridium difficile (C. diff)
Helicobacter pylori (H. pylori) Correct Answer Staphylococcus
aureus
Staphylococcus aureus is the most common causative organism
of IE. Infection occurs when the blood flow within the heart
allows the causative organism to infect the previously damaged
valves.
Question 1 of 3
,A patient has been diagnosed with myocarditis. What are some
measures the nurse should implement to reduce the patient's
cardiac workload?
Select all that apply.
Discourage daily exercise
Encourage a high fat diet
Provide a quiet environment
Space activity and rest periods
Maintain semi-Fowler's position
Monitor effectiveness of medication Correct Answer Provide a
quiet environment
A quiet, restful environment will alleviate anxiety, which will in
turn decrease the workload on the heart.
Space activity and rest periods
Spacing activity and rest periods will decrease the workload on
the patient's heart.
Maintain semi-Fowler's position
Semi-Fowler's position decreases cardiac output and reduces
venous return to decrease the workload on the heart.
Monitor effectiveness of medication
Monitoring the effectiveness of the patient's medication should
be done to ensure increased contractility and decreased preload
and afterload.
Question 1 of 3
A patient presents with chest pain, shortness of breath, syncope,
fever, chills, and myalgias. Which health care provider order
would the nurse implement first to prevent valvular heart
disease?
Administer oxygen therapy
Administer acetaminophen
, Administer intravenous (IV) antibiotics
Obtain STAT electrocardiogram (ECG) Correct Answer
Administer intravenous (IV) antibiotics
IV antibiotics would be administered to prevent permanent
damage to the heart muscle, which can lead to valvular heart
disease.
Question 1 of 3
A patient with rheumatic heart disease complains of painful
joints. Which supportive care measures would the nurse
implement to relieve these symptoms?
Select all that apply.
Administering salicylates
Applying heat to the affected joints
Placing the patient in supine position
Repositioning the affected extremities
Placing ice packs on the affected joints
Administering nonsteroidal antiinflammatory drugs (NSAIDs)
Correct Answer Administering salicylates
Salicylates decrease inflammation in affected joints by
inhibiting the release of prostaglandins. Salicylates also reduce
fever associated with inflammation.
Applying heat to the affected joints
Heat promotes vasodilatation and increased blood supply to the
affected joints.
Repositioning the affected extremities
Positioning the patient for comfort and promoting proper
alignment will relieve stress on painful joints and decrease
patient anxiety.
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