The pericardium layer consists of a fibrous layer that is made up of two layers called the parietal and visceral layers.

a.True

b.False

A patient is recovering from a myocardial infarction (MI) and develops chest pain on day 3 that increases when taking a deep breath and is relieved by leaning forward. Which action should the nurse take next?

<!--[if !supportLists]-->a.    <!--[endif]-->Assess the feet for pedal edema.

<!--[if !supportLists]-->b.    <!--[endif]-->Palpate the radial pulses bilaterally.

<!--[if !supportLists]-->c.   <!--[endif]-->Auscultate for a pericardial friction rub.

<!--[if !supportLists]-->d.    <!--[endif]-->Check the heart monitor for dysrhythmias.

True or False: Endocarditis only affects the atrioventricular and semi-lunar valves in the heart.

False

Rationale: Endocarditis can affect not only the heart valves but the interventricular septum and chordae tendineae as well.

You're providing discharge teaching to a patient being treated for endocarditis. Which statement by the patient demonstrated they understood your teaching about this condition?

<!--[if !supportLists]-->A.    <!--[endif]-->"I will stop taking the antibiotics once my fever is gone in order to prevent antibiotic resistance."

<!--[if !supportLists]-->B.    <!--[endif]-->"I will only wash my hands with soap and water."

<!--[if !supportLists]-->C.     <!--[endif]-->"I will inform my dentist about my history of endocarditis prior to any invasive procedures."

<!--[if !supportLists]-->D.    <!--[endif]-->"I will avoid eating fish and organ meats."

A patient being treated for infective endocarditis is complaining of very sharp radiating abdominal pain that goes to the left shoulder and back. As the nurse familiar with complications of infective endocarditis, what do you suspect is the cause of this patient finding?

<!--[if !supportLists]-->A.    <!--[endif]-->Renal embolic event

<!--[if !supportLists]-->B.    <!--[endif]-->Pulmonary embolic event

<!--[if !supportLists]-->C.    <!--[endif]-->Central nervous system embolic event

<!--[if !supportLists]-->D.     <!--[endif]-->Splenic embolic event

You are providing care to a patient with pericarditis. Which of the following is NOT a proper nursing intervention for this patient?

<!--[if !supportLists]-->A.    <!--[endif]-->Monitor the patient for complications of cardiac tamponade.

<!--[if !supportLists]-->B.    <!--[endif]-->Administer Ibuprofen as scheduled.

<!--[if !supportLists]-->C.     <!--[endif]-->Place the patient in supine position to relieve pain.

<!--[if !supportLists]-->D.    <!--[endif]-->Monitor the patient for pulsus paradoxus and muffled heart sounds.

A patient with severe pericarditis has developed a large pericardial effusion. The patient is symptomatic. The physician orders what type of procedure to help treat this condition?

<!--[if !supportLists]-->A.    <!--[endif]-->Pericardiectomy

<!--[if !supportLists]-->B.    <!--[endif]-->Heart catheterization