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Inflammatory Cardiac Disorders Med/Surg III Flashcards | StudBud
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Inflammatory Cardiac Disorders Med/Surg III
Inflammatory Cardiac Disorders Med/Surg III
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1
A patient with myocarditis is being treated with ACE inhibitors. What outcome is the primary goal of treatment?
improve cardiac output
reduce heart rate
prevent arrhythmias
decrease blood pressure
2
The hallmark sign of pericarditis upon auscultation is:
diastolic murmur
systolic murmur
pericardial friction rub
crackles
3
Which of the following is a common symptom of acute pericarditis?
dull, aching pain in the lower back
abdominal pain with nausea and vomiting
crushing chest pain that radiates to the jaw
sharp chest pain that worsens with deep breathing or lying down
4
Pericarditis can lead to cardiac tamponade, a life-threatening condition requiring immediate intervention.
True
False
5
A patient with a prosthetic heart valve is at increased risk for IE. Which of the following is the most appropriate prop
Beta-blockers
Antibiotics before dental procedures
Anticoagulants
Daily aspirin
6
Which of the following is a major risk factor for developing infective endocarditis?
Use of oral contraceptives
History of rheumatoid arthritis
Poor dental hygiene
High blood pressure
7
NSAIDs are commonly used to treat the pain and inflammation associated with pericarditis.
True
False
8
Most common complications associated with untreated infective endocarditis. (Select all that apply).
Retinal detachment
Peripheral edema
Kidney failure
Stroke or other embolic events
Heart failure
Abscess formation in the heart or other organs
9
Osler’s nodes and Janeway lesions are physical findings associated with infective endocarditis.
False
True
10
Myocarditis can lead to dilated cardiomyopathy, which may result in chronic heart failure.
False
True
11
A patient with pericarditis may experience relief from chest pain by:
engaging physical activity
lying flat on the back
sitting up and leaning forward
taking deep breaths
12
The ECG shown identifies which of the following?
Atrial Fibrillation
Supraventricular Tachycardia
Normal Sinus Rhythm
Atrial Flutter
13
50% of infective endocarditis cases are caused by which organism?
Actinobacillus
Staphyloccocus aureus
Kingella
Haemophilus
14
Myocarditis always presents with severe symptoms that are easily recognizable.
True
False
15
Which of the following is the most common cause of myocarditis?
bacterial infection
parasitic infection
fungal infection
viral infection
16
Which diagnostic test is most useful in diagnosing pericarditis?
echocardiogram
chest x-ray
electrocardiogarm (ECG)
cardiac MRI
17
Infective endocarditis can only occur in individuals with pre-existing heart conditions.
True
False
18
A patient with IE is being treated with IV antibiotics. Which symptom should the nurse report immediately?
Mild fatigue
Sudden onset of dyspnea
Fever of 100.5ºF (38ºC)
Increased heart rate
19
A patient with pericarditis is at risk for developing a pericardial effusion. Which symptom would we assess for?
bradycardia
hypertension
peripheral edema
muffled heart sounds
20
Which of the following symptoms is most commonly associated with myocarditis?
swelling in the lower extrimities
sharp chest pain that worsens with deep breathing
shortness of breath, especially with exertion
severe headache
21
Infective endocarditis is a disease of the __________ and the __________.
pericardium, arteries
myocardium, aorta
pleura, pulmonic artery
endocardium, heart valves
22
A nurse is caring for a patient with myocarditis. Which of the following nursing interventions is most appropriate?
monitor for signs of heart failure and arrhythmias
restrict fluid intake to prevent edema
encourage increased physical activity to maintain muscle strength
administer antibiotics as prescribed
23
A patient with suspected myocarditis may present with which of the following clinical findings?
decreased creatinine levels
hyperkalemia
elevated white blood cell count
elevated troponin levels
24
Which of the following ECG findings is most indicative of pericarditis?
Prolonged QT interval
ST-segment depression in aVR
ST-segment elevation in multiple leads
Peaked T waves
25
Which of the following is a common complication of myocarditis?
hypertrophic cardiomyopathy
myocardial infarction
heart failure
aortic stenosis
26
Which diagnostic test is most definitive for confirming a diagnosis of myocarditis?
echocardiogram
endomyocardial biopsy
chest x-ray
electrolcardiogram (ECG)
27
The patient presents with left sided chest pain, shortness of breath, and nausea. The nurses priority action should be?
Obtain blood cultures
Perform a 12-lead ECG
Assess current medications
Supply supplement oxygen