A nurse is assisting with the care of a client who has infective endocarditis. Which of the following manifestations should the nurse identify as a complication of this disorder?
Dyspnea
Fever
Petechiae
A heart murmur
The Correct Answer is A
A. Dyspnea can indicate heart failure or embolic events resulting from infective endocarditis, making it a serious complication that warrants attention.
B. Fever is a common symptom of infective endocarditis due to the infection but is not a complication; rather, it is part of the disease process.
C. Petechiae are small red or purple spots that can occur with infective endocarditis but are also not considered a complication, rather a manifestation of the condition.
D. A heart murmur may be present due to valvular damage but is not classified as a complication; it is a common finding in infective endocarditis.
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Correct Answer is D
Explanation
A. Gelatin allergies are not directly related to cardiac catheterization procedures, as iodine-based contrast media is typically used.
B. A yeast allergy is unrelated to the contrast dye or materials used in the procedure.
C. Egg allergies may be relevant to some medications or vaccines, but they are not typically a concern in cardiac catheterization.
D. Shellfish allergies are important because clients with shellfish allergies may also react to iodine-based contrast dyes commonly used in cardiac catheterization procedures.
Correct Answer is D
Explanation
A. While seeking help for transportation may be prudent, this statement does not specifically indicate understanding of the risks associated with arrhythmogenic cardiomyopathy.
B. Frequent hiccups are not a typical concern associated with this condition and do not relate to the risk of sudden cardiac death.
C. Constipation is not directly linked to arrhythmogenic cardiomyopathy or its risks.
D. Avoiding competitive recreational sports is critical as it minimizes the risk of arrhythmias and potential sudden cardiac death, indicating a good understanding of the condition’s risks.