Practice Question
A nurse is collecting data on a client who has infective endocarditis. The nurse should recognize which of the following findings is the priority to report to the provider?
Answer Choices:
Correct Answer:
Dyspnea
Rationale:
🔷 Dyspnea signals possible heart failure or pulmonary embolism, both life-threatening complications of infective endocarditis.
🔷 It indicates impaired cardiac function or embolic events requiring immediate intervention.
🔷 Prompt reporting allows for rapid diagnostic evaluation and treatment, improving outcomes.
🔷 Symptoms like malaise, fever, or anorexia are expected but not acutely life-threatening.
🔷 Dyspnea is an emergency red flag for deterioration in these clients.
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This question is from ATI LPN Medsurg Level 3 Exam which contains 31 questions.
More Questions from This Exam
Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort?
Answer Choices:
A. Obtain a pair of slipper socks for the client.
B. Increase the client's oral fluid intake.
C. Place a moist heating pad under the client's feet.
D. Rub the client's feet briskly for several minutes.
A nurse is reinforcing teaching with a client following surgery who has antiembolism stockings in place. Which of the following information should the nurse include in the teaching?
Answer Choices:
A. The stockings prevent venous stasis.
B. The stockings prevent varicose veins.
C. The stockings replace the need for postoperative leg exercises.
D. The stockings are used to reduce pain.
A nurse is caring for a client who is postoperative following vascular surgery. Which of the following manifestations should indicate to the nurse that the client has developed a thrombus?
Answer Choices:
A. Soft, pliable calf muscle
B. Cool and clammy skin
C. Dull, aching calf pain
D. Temperature > 100 F
A nurse is caring for a client who has thrombophlebitis and is receiving a continuous infusion of heparin. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse make?
Answer Choices:
A. "It usually takes at least 2 to 3 days for heparin to dissolve a clot."
B. "Heparin prevents new cloth from forming rather than dissolving established clots."
C. "The time it takes for heparin to dissolve a clot depends on the size of the clot."
D. "The time it takes heparin to dissolve clots varies between clients."
A nurse is collecting data from a client who has mitral stenosis. Which of the following findings is a manifestation of this condition?
Answer Choices:
A. S3 heart sound
B. Dyspnea on exertion
C. Cyanosis
D. S4 Heart Sound
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Medical-Surgical
- Answer Choices: 4