Jane Smith, a 21-year-old client, is admitted with infective endocarditis. The client has a history of mitral valve prolapse and a recent strep throat infection, which she stated when she felt better, she stopped taking the antibiotic. She presents to the telemetry unit with Osler nodes present on the pads of her fingers and toes, and Janeway lesions on the palms of her hands and soles of her feet. She has splinter hemorrhages present on her fingernails. The nurse notes that the spleen is enlarged and tender during palpation. The client is lethargic and stated that she has no appetite and has lost 5 lb this past week and 10 lb in 2 weeks because she has no appetite. She complains of muscle aches in her lower back and thighs and joint pain everywhere. The vital signs are T, 102 ° F; BP, 90/50 mm Hg; HR, 110 beats/minute; RR, 28 breaths/minute. She has a midsystolic click, followed by a late systolic murmur present. The LPN/LVN reviews the following orders on the chart and decides on nursing management needed for the client.
Admit to medical-surgical unit, infective endocarditis; keep on bed rest. No known allergies. Monitor via telemetry.
Blood cultures × 3, 1 hour apart and separate sites.
Obtain CBC with differential, renal profile, liver profile and send to lab.
D51/2 NS at 100 mL/hr per one IV site and the other IV site keep as saline lock for IVPB medication; NPO; transesophageal echocardiography (TEE) in 1 hour. More orders to follow after procedure is completed.
What client preparation before and after the TEE is needed? (Bullet your responses. Provide detailed responses.)
The pre client preparations are
Post procedure
Jane Smith, a 21-year-old client, is admitted with infective endocarditis. The client has a history of...
Jane Smith, a 21-year-old client, is admitted with infective endocarditis. The client has a history of mitral valve prolapse and a recent strep throat infection, which she stated when she felt better, she stopped taking the antibiotic. She presents to the telemetry unit with Osler nodes present on the pads of her fingers and toes, and Janeway lesions on the palms of her hands and soles of her feet. She has splinter hemorrhages present on her fingernails. The nurse notes...
- A patient has been admitted to the telemetry unit with infective endocarditis. During the nursing assessment, the nurse notes the confirmatory findings of petechiae, splinter hemorrhages, and:
A patient has been admitted to the telemetry unit with infective endocarditis. During the nursing assessment, the nurse notes the confirmatory findings of petechiae, splinter hemorrhages, and:a. elevated blood sugar.b. negative/normal blood cultures.c. Osler’s nodes.d. shortness of breath.
Group 2 Scenario: Valvular Heart Disease/Infective Endocarditis J.F. is a 50-year-old married homemaker that has suffered from recurrent infective endocarditis. The most recent episodes were a Staphylococcus aureus infection of the mitral valve 16 months ago and a Streptococcus viridans infection of the aortic valve 1 month ago. During this latter hospitalization, an echocardiogram showed moderate aortic stenosis, moderate aortic insufficiency, chronic valvular vegetations, and moderate left atrial enlargement. Two years ago, J.F. received an 18-month course of parenteral nutrition...
Group 2 Scenario: Valvular Heart Disease/Infective Endocarditis J.F. is a 50-year-old married homemaker that has suffered from recurrent infective endocarditis. The most recent episodes were a Staphylococcus aureus infection of the mitral valve 16 months ago and a Streptococcus viridans infection of the aortic valve 1 month ago. During this latter hospitalization, an echocardiogram showed moderate aortic stenosis, moderate aortic insufficiency, chronic valvular vegetations, and moderate left atrial enlargement. Two years ago, J.F. received an 18-month course of parenteral nutrition...
April Smith, an 82-year-old female client, is at the independent living facility and had planned on going to a senior outing when she activated her emergency alert button she wears around her neck. When the emergency response system called, she stated in gasping words, “I can’t get my breath!” She denies any chest pain or abdominal pain. The vital signs at the scene were T, 96° F; BP, 190/100 mm Hg; HR, 100 beats/minute; RR, 30 breaths/minute. She is diaphoretic...
April Smith, an 82-year-old female client, is at the independent living facility and had planned on going to a senior outing when she activated her emergency alert button she wears around her neck. When the emergency response system called, she stated in gasping words, “I can’t get my breath!” She denies any chest pain or abdominal pain. The vital signs at the scene were T, 96° F; BP, 190/100 mm Hg; HR, 100 beats/minute; RR, 30 breaths/minute. She is diaphoretic...
Jolly Rogers, a 72-year-old female client who lives alone in a townhouse, arrives to the medical-surgical unit after falling down seven icy steps in front of her home. The vital signs are T, 97° F; BP, 130/80 mm Hg; HR, 88 beats/minute; RR, 22 breaths/minute. She is 5 feet 4 inches tall and weighs 120 lb. She has a history of osteoporosis and diabetes controlled with diet. The client stated that she has pain in her right arm rated as...
Jolly Rogers, a 72-year-old female client who lives alone in a townhouse, arrives to the medical-surgical unit after falling down seven icy steps in front of her home. The vital signs are T, 97° F; BP, 130/80 mm Hg; HR, 88 beats/minute; RR, 22 breaths/minute. She is 5 feet 4 inches tall and weighs 120 lb. She has a history of osteoporosis and diabetes controlled with diet. The client stated that she has pain in her right arm rated as...
Jolly Rogers, a 72-year-old female client who lives alone in a townhouse, arrives to the medical-surgical unit after falling down seven icy steps in front of her home. The vital signs are T, 97° F; BP, 130/80 mm Hg; HR, 88 beats/minute; RR, 22 breaths/minute. She is 5 foot 4 inches tall and weighs 120 lb. She has a history of osteoporosis and diabetes controlled with diet. The client stated she has pain in her right arm rated as 6/10,...