Page 1709 - Saunders Comprehensive Review For NCLEX-RN

c. Fatigue
d. Cardiac murmurs
e. Heart failure
f. Embolic complications from vegetation
fragments traveling through the
arterial circulation
g. Petechiae
h. Splinter hemorrhages in the nailbeds
i. Osler’s nodes (reddish, tender lesions)
on the pads of the fingers, hands, and
toes
j. Janeway lesions (nontender
hemorrhagic lesions) on the fingers,
toes, nose, or earlobes
k. Splenomegaly
l. Clubbing of the fingers
3. Interventions
a. Provide adequate rest balanced with
activity to prevent thrombus
formation.
b. Monitor for signs of heart failure.
c. Monitor for splenic emboli, as
evidenced by sudden abdominal pain
radiating to the left shoulder and the
presence of rebound abdominal
tenderness on palpation.
d. Monitor for renal emboli, as evidenced
by flank pain radiating to the groin,
hematuria, and pyuria.
e. Monitor for confusion, aphasia, or
dysphasia, which may indicate central
nervous system emboli.
f. Monitor for pulmonary emboli as
evidenced by pleuritic chest pain,
dyspnea, and cough.
g. Assess skin, mucous membranes, and
conjunctiva for petechiae.
h. Assess nailbeds for splinter
hemorrhages.
i. Assess for Osler’s nodes on the pads of
the fingers, hands, and toes.
j. Assess for Janeway lesions on the
fingers, toes, nose, or earlobes.
k. Assess for clubbing of the fingers.
l. Evaluate blood culture results.
m. Administer antibiotics intravenously
as prescribed.
n. Plan and arrange for discharge,

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