Difficulty: Medium
Average Score: 83%
Simulated
Passage / Scenario
A patient exhibiting signs of infective endocarditis with proteinuria, ESR-14 mm/hr, weight gain of 2 kg, hemoglobin-13.8, temperature-102.5°FA pediatric nurse is concerned that her patient is exhibiting signs of infective endocarditis. Which of the following symptoms would lead the nurse to suspect that diagnosis?
Correct answer
E
Rationale
The correct answer is E: Temperature ÔÇô 102.5┬░F. Fever is a common symptom of infective endocarditis due to the body's immune response to the infection. Elevated body temperature indicates an inflammatory process, which is a key feature of infective endocarditis.
A: Proteinuria is not a typical symptom of infective endocarditis. It may indicate kidney dysfunction.
B: ESR-14 mm/hr is within normal limits for children and does not specifically point to infective endocarditis.
C: Weight gain of 2 kg is non-specific and can be caused by various factors, not necessarily infective endocarditis.
D: Hemoglobin level within the normal range does not directly correlate with infective endocarditis.
In summary, the presence of fever is a significant indicator of infective endocarditis, while the other symptoms are less likely to be associated with this condition.
A: Proteinuria is not a typical symptom of infective endocarditis. It may indicate kidney dysfunction.
B: ESR-14 mm/hr is within normal limits for children and does not specifically point to infective endocarditis.
C: Weight gain of 2 kg is non-specific and can be caused by various factors, not necessarily infective endocarditis.
D: Hemoglobin level within the normal range does not directly correlate with infective endocarditis.
In summary, the presence of fever is a significant indicator of infective endocarditis, while the other symptoms are less likely to be associated with this condition.