- 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:
Endocarditis is generally caused by the normal microbiota residing in the skin or mouth of the individuals and is also observed in the people with rheumatic fever. Endocarditis increases the risk of stroke. Bacterial infection (Staphylococcus infections) is the common cause of endocarditis. The symptoms of endocarditis include petechiae, splinter hemorrhages, and Janeway lesions.
Janeway lesions are the erythematous macular or nodular lesions present on the palms or soles of the upper and lower limbs respectively. They are smaller in size (with a diameter of a few millimeters). These are characteristics of infective endocarditis.
- A patient has been admitted to the telemetry unit with infective endocarditis. During the nursing...
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.
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...
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...
Penny Williams, a 74-year-old patient, is admitted to the telemetry unit with the diagnosis of acute ischemic stroke. The patient is experiencing paroxysmal atrial fibrillation with a controlled ventricular rate on the monitor. The CT of the head without contrast reveals no evidence of hemorrhage. The transesophageal echocardiogram reveals moderate mitral valve insufficiency and embolism as a primary cause of the stroke. The patient is on a weight-based heparin protocol. The patient received digitalis to keep the ventricular rate of...
Penny Williams, a 74-year-old patient, is admitted to the telemetry unit with the diagnosis of acute ischemic stroke. The patient is experiencing paroxysmal atrial fibrillation with a controlled ventricular rate on the monitor. The CT of the head without contrast reveals no evidence of hemorrhage. The transesophageal echocardiogram reveals moderate mitral valve insufficiency and embolism as a primary cause of the stroke. The patient is on a weight-based heparin protocol. The patient received digitalis to keep the ventricular rate of...
Your patient has been admitted to your cardiac-telemetry unit with a working diagnosis of syncope. Explain one possible cause for syncope related to cardiac dysrhythmias and include a pharmacological treatment for the cause that you have chosen.
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...
Question: Ariane Waters, 21 years of age, is a female patient who is admitted to the hospital with the diagnosis of infective endocarditis. Ariane had her tongue and nose pierced 6 weeks ago. The drug screen is negative. She presents with grade II tricuspid insufficiency murmur, and a temperature of 104F. the patient complains of extreme fatigue and anorexia. The echocardiogram reveals vegetations on the tricuspid valve (learning objective 4) a) what risk factors predisposed Ms. Walters to develop infective...
Mr. H.Y. is a 63-year-old male, who presents to the ER with a two-day history of high-grade fever with chills, “I don’t feel well and I think that I may have the flu,” he tells the ER nurse and physician. He also complains of “some painful bumps on my fingers and toes that came on last night.” He denies IVDA. When asked about recent medical or dental procedures, he responded: “I had an infected tooth removed about two weeks ago.”...
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...