Question: CRITICAL THINKING Mrs. Jones, Age 28, Is Admitted To The Hospital With A Fever Of 100°F (37°C), Chills, Fatigue, Anorexia, And Pain In Her Joints. A Physical Exam Reveals Splinter Hemorrhages In The Left Index Finger Nailbed And Petechiae On Her Chest. She Is Diagnosed With A Heart Murmur And Infective Endocarditis. 1. Why Is A Heart Murmur Heard …

CRITICAL THINKING Mrs. Jones, age 28, is admitted to the hospital with a fever of 100°F (37°C), chills, fatigue, anorexia, and pain in her joints. A physical exam reveals splinter hemorrhages in the left index finger nailbed and petechiae on her chest. She is diagnosed with a heart murmur and infective endocarditis. 1. Why is a heart murmur heard with endocarditis? 2. What do splinter hemorrhages look like? 3. What do petechiae indicate? 4. How would Mrs. Jones’s data collection findings be documented? 5. What type of medication would the nurse expect to be ordered to treat the infection? 6. Why does Mrs. Jones have chills if her temperature is elevated? 7. What signs and symptoms might occur if the complica- tions of heart failure develop? 8. Acetaminophen (Tylenol) 650 mg every 6 hours for pain is ordered. It comes as 325-mg tablets. How many tablets would be given for each dose? Suggested answers are at the end of the chapter.