Question

Mr. H.Y. is a 63-year-old male, who presents to the ER with a two-day history of high-grade fever with chills, “I don’t feel well and I think that I may have the flu,” he tells the ER nurse and physician. He also complains of “some painful bumps on my fingers and toes that came on last night.” He denies IVDA. When asked about recent medical or dental procedures, he responded: “I had an infected tooth removed about two weeks ago.” He does not recall receiving any antibiotics either prior to or after the procedure. Patient denies any pain other than the lesions on his fingers and toes. Denies cough, chest pain, breathing problems, palmar or plantar rashes, and vision problems. Experiencing mild malaise and some loss of appetite.

1. What are diagnostic criteria that favor a diagnosis of infective endocarditis in this patient?

      

2. What are appropriate treatments for this patient?
3. Identify a priority nursing diagnosis, secondary nursing diagnosis, and collaborative problem for this patient.
4. Identify ten nursing interventions.
5. How will you evaluate your nursing interventions and patient outcomes?