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 B
Explanation
A. While travel can expose individuals to various pathogens, Guillain-Barré syndrome (GBS) is more commonly linked to recent infections rather than overseas travel.
B. GBS is often preceded by an acute viral or bacterial infection, particularly an upper respiratory or gastrointestinal infection. This makes it essential for the nurse to inquire about a recent upper respiratory infection.
C. Taking multivitamins does not have a direct connection to the development of GBS.
D. While some vaccines are associated with GBS, the MMR vaccine is not typically a cause of concern in this context.
Correct Answer is D
Explanation
A. Black cohosh is primarily used for menopausal symptoms and does not have benefits for peripheral arterial disease.
B. Echinacea is commonly used to boost the immune system but is not effective for improving circulation or walking distance in peripheral arterial disease.
C. Saw palmetto is mainly used for urinary symptoms related to benign prostatic hyperplasia and does not address the symptoms of peripheral arterial disease.
D. Ginkgo biloba has been shown to improve blood circulation and may help increase pain-free walking distance in clients with peripheral arterial disease, making it the most suitable option.