Management of Patients With Structural Infectious Essay

1. Ariane Waters, 21 years of age, is a female patient who is admitted to the hospital with the diagnosis of infective endocarditis. Ariane had her tongue and nose pierced 6 weeks ago. The drug screen is negative. She presents with tricuspid insufficiency murmur grade II, and a temperature of 104F. The patient complains of extreme fatigue, and anorexia. The echocardiogram reveals vegetations on the tricuspid valve.a. What risk factors predisposed Ms. Waters to bring on infective endocarditis?b. Explain the pathophysiology of infective endocarditis as it relates to this case.c. What additional clinical manifestations should the view as include in the assessment of the patient?d. What medical management should the wet-nurse anticipate for the patient?e. What nursing management should be provided for the patient and family?2. Mrs. Robbins, a 58-year-old patient with suspected aortal stenosis, presents to the cardiac care clinic for evaluation. About 1 month ago she noticed that s he was having increasing difficulty completing the 2-mile passing that she had been doing for the last 5 years. The cardiologist has ordered a Doppler echocardiogram to diagnose aortic stenosis definitively.a. On this visit, Mrs. Robbins states that she is having difficulty sleeping and has episodes of chest pain. How does the nurse jibe these clinical manifestations to aortic stenosis?b. The nurse assesses Mrs. Robbins for what types of heart sounds that are accordant with aortic stenosis?