Which teaching does the nurse provide for a patient with endocarditis quizlet

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What are medical management of infective endocarditis?
When assessing a patient for possible infective endocarditis What are some key signs and symptoms?
Which of the following is the most common complication in patients with endocarditis?
Which physical assessment is most important to rule out infective endocarditis?

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b, c, e

Rationale
Maintenance doses of digoxin (Lanoxin) are given every 12 hours, such as at 8 AM and 8 PM. Digoxin can be dangerous, because it has a narrow margin of safety of therapeutic, toxic, and lethal doses. Frequent vomiting, poor feeding, or a slow heart rate can be signs of toxicity. The health care provider must be notified if any of these signs are observed in the child. The child must be given water after administering the drug and encouraged to brush the teeth to prevent tooth decay. The drug must not be mixed with food or fluids, because the child will receive an inaccurate dosage if the child refuses to have the food and other fluids. If the child vomits after a dose, a second dose should not be given, because this may lead to an overdose.

a, c, d

Rationale
While providing care to a patient who is prescribed nitroglycerin, the nurse should monitor for the use of sildenafil, assess blood pressure at regular intervals, and ask the patient to lie down with the head of the bed at a comfortable level. Sildenafil, when administered with nitroglycerin, can cause a drastic drop in blood pressure; therefore, the nurse should avoid administering these drugs together. Blood pressure is monitored at regular intervals because nitroglycerin causes vasodilation, which can cause hypotension. Instructing the patient to lie down with the head of the bed at a comfortable level will reduce the risk of hypotension. Nitroglycerin does not need to be taken with food. Cough, shortness of breath, edema, and weight gain are associated with beta blockers, not nitrates.

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What are medical management of infective endocarditis?

Many people with endocarditis are successfully treated with antibiotics. Sometimes, surgery may be needed to fix or replace damaged heart valves and clean up any remaining signs of the infection.

When assessing a patient for possible infective endocarditis What are some key signs and symptoms?

Signs & Symptoms.

Heart murmur not previously present or a changed heart murmur. ... .

A higher fever of 100 – 103 degrees F..

Flu-like symptoms including chills..

Shortness of breath at rest..

Night sweats..

Chest pain while breathing..

Swelling in the feet, legs or abdomen..

Rapid heartbeat (tachycardia).

Which of the following is the most common complication in patients with endocarditis?

Congestive heart failure (CHF) is the most important complication of IE, which has the greatest impact on prognosis.

Which physical assessment is most important to rule out infective endocarditis?

Initial evaluation with a transthoracic echocardiogram (TTE) is common; however, the American Heart Association (AHA) recommends obtaining a more sensitive and specific transesophageal echocardiogram (TEE) if suspicion for infectious endocarditis remains high despite a negative TTE (Class I, Level of Evidence B).