I CARDIAC DISORDERS

Q. l The client is admitted to the telemetry unit diagnosed with acute exacerbation of
congestive heart failure (CHF). Which signs/symptoms would the nurse expect
to find when assessing this client?
(A) Apical pulse rate of 110 and 4+ pitting edema of feet.
(B) Thick white sputum and crackles that clear with cough.
(C) The client sleeping with no pillow and eupnoea.
(D) Radial pulse rate of90 and capillary refill time <3 seconds.
Q.2 The nurse is develop_ing a n!1fsing care plan for a client diagnosed with
congestive heart failure. A nursing diagnosis of "decreased cardiac oµtput
related fo inability of the heart to pump effectively" is written. Which short-term
goal would be best for the client? The client will:
(A) Be able to ambulate in the hall by date of discharge.
(B) Have an audible S 1 and S2 with no S3 heard by end of shift.
(C) Turn, cough, and deep breathe every two (2) hours.
(D) Have a pulse oximeter reading of 98% by day two (2) of care.
Q.3 The nurse is developing a discharge-teaching plan for the client diagnosed with
congestive heart failure. Which intervention should be included in the plan?
Select all that apply.
(A) Notify health-care provider of a weight gain of less than one (1) pound in a
week.
(B) Teach client how to count the radial pulse when taking digoxin, a cardiac
glycoside.
(C) Instruct client to remove saltshaker from the dinner table.
(D) Encourage client to monitor uririe output for change in color to become
dark. ,
(E) Discuss the importance of taking the loop diuretic furosemide at bedtime.
Q.4 The nurse enters the room of the client diagnosed with congestive heart failure.
The client is lying in bed gasping for breath, is cool and clammy, and has buccal
cyanosis. Which intervention would the nurse implement first?
(A) Sponge the client's forehead.
(B) Obtain a pulse oximetry reading.
(C) Take the client's vital signs.
(D) Assist the client to a sitting position.
Q.5 The nurse is assessing the client diagnosed with congestive heart failure. Which
signs/symptoms would indicate that the medical _!reatment has been effective?
(A) The client's peripheral pitting edema has gone from 3+to 4+.
(B) The client is able to take the radial pulse accurately.
(C) The client is able to perform ADLs without dyspnea.
(D) The client has minimal jugular vein distention.
Q.6 The nurse is assessing the client diagnosed with congestive heart failure. Which
laboratory data would indicate that the client is in severe congestive heart
failure?
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(A) An elevated B-type natriuretic peptide (BNP). \
(B) An elevated creatine kinase (CK-MB).
(C) A positive ventilation/perfusion (V/Q) scan.
(D) Elevated AST and ALT value
Q.7 The health-care provider has ordered an angiotensin -converting enzyme (ACE)
inhibitor for the client diagnosed with congestive heart failure. Which discharge
instructions should the nurse include?
(A) Instruct the client to take a cough suppressant if a cough develops.
(B) Teach the client how to prevent orthostatic hypotension.
(C) Encourage the client to eat bananas to increase potassium level.
(D) Explain the importance of taking the medication with food.
Q.8 The nurse on the telemetry unit lias just received the a.m. shift report. Which
client should the nurse assess first?
(A) The client diagnosed with myocardial infarction who has an audible S3,
heart sound.
(B) The client diagnosed with congestive heart failure who has 4+ sacral pitting
edema.
(C) The client diagnosed with pneumonia who has a pulse oximeter reading of
94%. '
(D) The client with chronic renal failure who has an elevated creatinine level.
Q.9 The nurse and an unlicensed assistive personnel (UAP) are caring for four
clients on a telemetry unit. Which nursing task would be best for the nurse to
delegate to the UAP?
(A) Assist the client to understand the benefits of quitting cigarette smoking.
(B) Transport the clfunt to _ ilie intensive care unit vfa a,st;retcher. '
(C) Provide the client going home discharge-teaching instructions.
(D) Help. position the client who is having a portable x-ray done.
Q.10 The charge nurse is making shift assignments for the medical floor. Which
client should be assigned to the most experienced registered nurse?
(A) The client diagnosed with congestive heart failure who is being discharged
in the morning.
(B) The client who is having frequent incontinent liquid bowel movements and
vomiting.
(C) The client with an apical pulse rate of 116, a respiratory rate of 26, and a
blood pressure of 94/62.
(D) The client who is complaining of chest pain with inspiration and a
nonproductive cough.
Q .11 The client diagnosed with congestive heart failure is complaining of leg cramps
at night. Which nursing intervention should be implemented?
(A) Check the client for peripheral edema and make sure the client takes a
diuretic early in the day.
(B) Monitor the client's potassium level and assess the client's intake of
bananas and orange juice. -
 (C) Determine if the client has gained weight ~d instruct the client to keep the
legs elevated.
(D) Instruct the client to ambulate frequently and perform calf-muscle
stretching exercises daily.
Q.12 The nurse has written and outcome goal "demonstrates tolerance for increased
activity" for a client diagnosed with congestive heart failure. Which intervention
should the nurse implement to assist the client to achieve this outcome?
(A) Measure intake and output.
(B) Provide two (2)-g sodium diet.
(C) Weigh client daily.
(D) Plan for frequent rest periods.
Q.13 Which cardiac enzyme would the nurse expect to elevate first in a client
diagnosed with a myocardial infarction?
(A) Creatine Kinase (CK-MB).
(B) Lactate dehydrogenises (LpH).
(C) Troponin.
(D) White blood cells (WBCs).
Q.14 Along with persistent, crushin:g chest pain, which signs/symptoms would make
the nurse suspects that the client is experiencing a myocardial infarct~on?
(A) Midepigastric pain and pyrosis.
(B) Diaphqresis and cool clammy skin.
(C) Intermittent claudicating and pallor.
(D) Jugular vein distention and dependent edema.
Q.15 The client diagnosed with rule-out myocardial infarction is ~xperiencing chest
pain while walking to the bathroom. Which action should the nurse implement
first? ·
(A) Administer sublingual nitroglycerin.
(B) Obtain a STAT electrocardiogram.
(C) Have the client to sit down on the bed
(D) Assess the client's vital signs.
Q.16 The nurse is caring for a client diagnosed with a myocardial infarction who is
experiencing chest pain. Which interventions should the nurse implement?
Select all that apply. ·
(A) Administer morphine intramuscularly.
(B) Administer an aspirin orally.
(C) Apply oxygen via a nasal cannula.
(D) Place the client in a supine position.
(E) Administer nitroglycerin subcutaneously.
Q.17 The client who has had a myocardial infarction is admitted to the telemetry unit
from intensive care. Which referral would be most appropriate for the client?
(A) Social worker.
(B) Physical therapy.
(C) Cardiac rehabilitation.
(D) Occupational therapy.
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Q.18 The client is one (1) day postoperative coronary artery bypass surge~. The
client complains of chest pain. Which intervention should the nurse implement
first?
(A) Medicate the client with intravenous morphine.
(B) Assess the client's chest dressing and vital signs.
(C) Encourage the client to tum from side to side.
(D) Check the client's telemetry monitor.
Q.19 The client diagnosed with a myocardial infarction is six (6) hours post-right
femoral percutaneous transluminal coronary angioplasty (PICA), also known as
balloon surgery. Which assessment data would r~quire immediate intervention
by the nurse?
(A) The client is keeping the affected extremity straight.
(B) The pressure dressing to the right femoral area is intact.
(C) The client is complaining of numbness in the right foot.
(D) The client's right pedal pulse is 3+ and bounding.
Q.20 The intensive care department nurse is assessing the client who is 12 hours post-
myocardial infarction. The nurse assesses an S3 heart sound. Which
intervention should the nurse implement?
(A) Notify the health-care provider immediately'.
(B) Elevate the head of the client's bed.
(C) Dodument this as a normal and expected finding.
(D) Administer morphine intravenously.
Q.21 The nurse is administering a calcium channel blocker to the client diagnosed
with a myocardial infarction. Which assessment data would cause the nurse to
question administering this medication?
(A) The client's apical pulse is 64.
(B) The client's calcium level is elevated.
(C) The client's telemetry show~ occasional PVCs.
(D) The client's blood pressure is 90/62. ·
Q.22 The client diagnosed with a myocardial infarction is on bedrest. The unlicensed
assistive personnel (UAP) are encouraging the client to move the legs. Which
action should the nurse implement?
(A) Instruct the UAP to stop encouraging the leg movements.
(B) Report this behavior to the charge nurse as soon as possible.
(C) Encourage the UAP for encouraging the client to move legs.
(D) Intervene and send the UAP out of room.
Q.23 The client diagnosed with a myocardial infarction asks the nurse, "Why do I
have to rest and take it easy? My chest doesn't hurt anymore." Which-statement
would be the nurse's best response?
(A) "Your heart is damaged and needs about four (4) to six (6) weeks to heal."
(B) "There is necrotic myocardial tissue that puts you at risk for
Dysrhythmias."
(C) "Your doctor has ordered bedrest. Therefore, you must stay in the bed."
 (D) "Just because your chest doesn't hurt anymore doesn't mean you are out of
danger."
The client has just returned from a cardiac catheterization. Which assessment
date would warrant immediate intervention form the nurse?
(A) The client's BP is 110/70 and pulse is 90.
(B) The client's groin dressing is dry and intact.
(C) The client refuses to keep the leg straight.
(D) The client denies any numbness and tingling.
Q.25 The male client is diagnosed with coronary artery disease (CAD) and is
prescribed sublingual nitroglycerin. Which statement indicates the client needs
more teaching?
(A) "I should keep the tablets in the dark-colored bottle they came in."
(B) "If the tablets do not burn under my tongue, they are not effective."
(C) "I should keep the bottle with me in my pocket at all times."
(D) "If my chest pain is not gone with one tablet. I will go to the ER."
Q.26 The client with coronary artery disease asks the nurse, "Why do I get chest
pain?" Which statement would be the most appropriate response by the nurse?
(A) "Chest pain is caused by decreased oxygen to the heart muscle."
(B) "There is ischemia to the lungs as a result ofhypoxemia.;'
(C) "The heart muscle is unable ·to pump effectively to perfuse the body."
(D) "Chest pain occurs when the lungs cannot adequately oxygenate the
blood."
Q.27 The client is scheduled for a right femoral cardiac catheterization. Which
nursing intervention should the nurse implement after tlie procedure?
(A) Perform passive range-of-motion exercises.
(B) Assess the client's neurovascular status.
(C) Keep the client in high Fowler's position.
(D) Assess the gag reflex prior to feeding the client.
Q.28 The nurse is preparing to administer a beta blocker to the client diagnosed with
coronary ,artery disease. Which assessment data would cause the nurse to
question administering the medi~ation?
(A) The client has a BP of 110/70.
(B) The client has an apical pulse of 56.
(C) The client is complaining of a headache.
(D) The client's potassium level is 4.5 mEq/L.
Q.29 Which intervention should the nurse implement when administering a loop
diuretic to a client diagnosed with coronary artery disease?
(A) Assess the client's radial pulse.
(B) Assess the client's serum potassium level.
(C) Assess the client's glucometer reading.
(D) Assess the client's pulse oximeter reading.
Q.30 Which client teaching should the nurse implement for the client diagnosed with
coronary artery disease? Select all that apply.
(A) Encourage a low-fat, low-cholesterol diet.
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(B) Instruct client to walk 30 minutes a day.

(C) Decrease the salt intake to two (2) a day. .
(D) Refer to counselor for stress redu~tion te~hmques.
(E) Teach the client to increase fiber m the diet. . .
Q.31 The elderly client has coronary artery disease. Which question should the nurse
ask the client during the client teaching?
(A) "Do you have a daily bowel movement?"
(B) "Do you get yearly chest x-rays?"
(C) "Are you sexually active?"
(D) "Have you had any weight change?"
Q.32 The nurse is discussing the importance of exercise with the client diagnosed
with coronary artery disease. Which intervention should the nurse implement?
(A) Perform isometric exercises daily.
(B) Walk for 15 minutes three (3) times a week.
(C) Do not walk outside if it is less than 40°F.
(D) Wear open-toed shoes when ambulating.
Q.33
The nurse is monitoring a client doing exercise, who diagnosed with coronary
artery disease, and develops chest pain during exercise. Which intervention
should the nurse implement?
(A) Put a nitroglycerin tablet under the tongue.
(B) Stop the activity immediately and rest.
(C) Document when and what activity caused angina.
(D) Notify the healt4-care provider immediately.
Q.34
The client with coronary artery dis_ease is prescribed a Holter m_onitor. Which
intervention should the nurse implement?
(A) Instruct client to keep a diary of activity, especially when having chest
pain.
(B) Discuss the need to remove the Holter Monitor during a.m. care and
showering.
(C) Explain that all medications should be withheld while wearing a Holter
monitor.
(D) Teach the client the importance of decreasing activity while wearing the
monitor.
Q.35 Which statement by the client diagnosed with coronary artery disease indicates
that the client understands the discharge teaching concerning diet?
(A) "I will not eat more than six (6) eggs a week."
(B) "I should bake or grill any meats I eat."
(C) "I will drink eight (8) ounces of whole milk a day."
(D) "I should not eat any type of pork products."
Q.36 The charge nurse is making assignments for clients on a cardiac unit. Which
client should the charge nurse assign to a new graduate nurse?
(A) The 44-year old client diagnosed with a myocardial infarction.
(B) The 65-year old client admitted with unstable angina.
(C) The 75-year old client scheduled for a cardiac catheterization.

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 (D) The 44-year old client complaining of chest pain.
A client is being seen in the clinic to RIO (rule out) mitral valve stenosis. Which
assessment data would be most significant?
(A) The client complains of shortness of breath when walking.
(B) The client has jugular vein distention and 3+ pedal edema.
(C) The client complains of chest pain after eating a large meal.
(D) The client's liver is enlarged and the abdomen is edematous.
Q.38 Which assessment data would the nurse expect to auscultator in the client
diagnosed with mitral valve insufficiency?
(A) A loud S1, S2 split, and a mitral opening snap.
(B) A holosystolic murmur heard best at the cardiac apex.
(C) A midsystolic ejection click or murmur heard at the base.
(D) A high-pitched sound heard at the third left intercostals space.
Q.39 The client has just received a mechanical valve replacement. Which behavior by
the client indicates the client needs more teaching?
(A) The client takes prophylactic antibiotics.
(B) The client uses a soft-bristle toothbrush.
(C) The client takes an enteric-coated aspirin daily.
(D) The client alternates rest with activity.
Q.40 The nurse is teaching a class on valve replacements. Which statement identifies
a disadvantage of having a biological tissue valve replacement?
·0-) The client must take lifetime anticoagulant therapy.
CB) The client infections are easier to treat.
(C) There is a low incidence of therombombolism.
(D) The valve has to be replaced frequently.
Q.41 The nurse is preparing to administer warfarin sodium (Coumadin), an oral
anticoagulant, to a client with a mechanical valve replacement. The client's
international normalized ratio (INR) is 2.7. Which action should the nurse
implement?
(A) Administer the medication as ordered.
(B) Prepare to administer vitamin K (AquaMephyton).
(C) Hold the medication and notify the HCP.
(D) Assess the client for abnormal bleeding.
Q.42 Which signs/symptoms should the nurse assess in any client who has a long-
term valvular heart disease? Select all that apply.
(A) Paroxysmal nocturnal dypnea'.
(B) Orthopnea.
(C) Cough.
(D) Pericardia! friction rubs.
(E) Pulses paradoxus.
Q.43 The client is being evaluated for valvular heart disease. Which information
would be most significant?
(A) The client has a history of coronary artery disease.
(B) There is a family history of valvular heart disease.
 (C) The client has a history of smoking for IO y~ars.
(D) The client has a history of rheumatic heart disease. . .
Q.44 The client who has just had a percutaneous balloon valvuloplasty IS the
recovery room. Which· mtervention
· · ·sh ouId the recovery room nurse unp1ement?
(A) Assess the client's chest tube output.
(B) Monitor the client's chest dressing. .
(C) Evaluate the client's endotracheal (ET) tube mtact
(D) Keep the client's affected leg straight.
Q.45 The client with a mechanical valve replacement asks the nurse, "Why do I have
to take antibiotics before getting my teeth cleaned?" Which response by the
nurse is most appropriate?
(A) "You are at risk of developing an infection in your heart."
(B) "Your teeth will not bleed as much if you have antibiotics."
(C) "This procedure may cause your valve to malfunction."
(D) "Antibiotics will prevent clotting of blood on your valves."
Q.46 The client had open-heart surgery to replace the mitral valve. Which
intervention should the intensive care unit nurse implement?
(A) Restrict the client's fluids as ordered.
(B) Keep the client in the supine position.
{C) Maintain oxygen saturation at 90%.
(D) Monitor the total parentral nutrition.
·Q.47 Which client would the nurse suspect of having a mitral valve prolapsed?
(A) A 60-year-old female with congestive heart failure.
(B) A 23-year-old male with Marfan's syndrome.
(C) An 80-year-old male with atrial fibrillation.
(D) A 33-year-old female with Down syndrome.
Q.48 The charge nurse is making shift assignments. Which client would be most
appropriate for the charge nurse to assign to a new graduate who just completed
orientation to the medical floor?
(A) The client admitted for diagnostic tests to rule out valvular heart disease
and his left side is getting weaker .
(B) The client three (3) days post-myocardial infarction being discharged
tomorrow.
(C) The client exhibiting supraventricular tachycardia (SVT) on telemetry.
(D) The client diagnosed with atrial fibrillation who has an INR of five (S).
Q.49 The telemetry nurse is unable to read the telemetry monitor at the nurse's
station. Which intervention should the telemetry nurse implement first?
(A) Go to the client's room to check the client.
(B) Instruct the primary nurse to assess the client.
(C) Contact the client on the client call system.
(D) Request the nursing assistant to take the crash cart to the client's room.
Q.50 The client shows ventricular fibrillation on the telemetry at the nurse's stations.
Which action should the telemetry nurse implement first?
(A) Administer epinephrine IVP.
 (B) Prepare to defibrillate the client.
(C) Call a STAT code.
(D) Start cardiopulmonary resuscitation.
Q.51 The client is experiencing multifocal premature ventricular contractions. Which
antidysrhythmic medication would the nurse expect the health-care provider to
order for this client?
(A) Lidocaine.
(B) Atropine.
(C) Digoxin.
(D) Adenosine.
Q.52 The client is exhibiting sinus bradycardia, is complaining of syncope and
weakness, and has a BP of98/60. Which collaborative treatment should the
nurse anticipate being implemented?
(A) Administer a thrombolytic medication.
(B) Assess the client's cardiovascular status.
(C) Prepare for insertion of a pacemaker.
(D) Obtain a permit for synchronized cardioversion.
Q.53 Which intervention should the nurse implement when defibrillating a client who
is in ventricular fibrillation?
(A) Defibrillate the client at 50, 100 and 200 joules.
(B) Do not remove the oxygen source during defibrillation.
(C) Place petroleum jelly on the defibrillator pads.
(D) Shout "all clear" prior to defibrillating the client.
Q.54 The client has chronic atrial fibrillation. Which discharge teaching should the
nurse discuss with the client?
(A) Instruct the client to use a soft-bristle toothbrush.
(B) Discuss the importance of getting a monthly partial thromboplastin time
(PTT).
(C) Teach the client about signs of pacemaker malfunction.
(D) Explain to the client the procedure for synchronized cardioversion.
Q.55 The client is exhibiting ventricular tachycardia. Which intervention should the
nurse implement first?
(A) Administer lidocaine, an antidysrhythmic, IVP.
(B) Prepare to defibrillate the client.
(C) Assess the client's apical pulse and blood pressure.
(D) Start basic cardiopulmonary resuscitation.
Q.56 The client is in complete heart block. Which intervention should the nurse
implement first?
(A) Prepare to insert a pacemaker.
(B) Administer atropine, and antidysrhythmic.
(C) Obtain a STAT electrocardiogram (ECG).
(D) Notify the health-care provider.
Q.57 The client is in ventricular fibrillation. Which interventions should the nurse
implement? Select all that apply.
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(A) Start card1opu1monary
resuscitation. .
.d hythmic adenosme
IVP ·
(B) Prepare to administer the an~1 ysr
(C) Prepare to defibrillate the che~t.
(D) Bring the crash cart to the be~1de. ·c amiodarone IVP.
(E) Prepare to administer the antldysrh~ ary artery bypass surgery is
. (l) d ostoperat1ve coron . ?
Q.S8 The client who 1s one ay P . . . should the nurse implement.
exhibiting sinus tachycardia. Which mterventlon . t
(A) Assess the apical heart rate for one (1) full mmu e.
(B) Notify the client's cardiac surg~on. . .
(C) Prepare the client for synchromzed cardioversion.
(D) Determine if the client is having pain. and
Q.59 The client's telemetry reading shows a P wave before each QRS comp1ex
the rate is 78. Which action should the nurse implement?
(A) Document this as normal sinus rhythm.
(B) Request a 12-lead electrocardiogram.
(C) Prepare to administer the cardiotonic dioxins PO.
(D) Assess the client's cardiac enzymes.
Q.60 Which client problem has priority for the client with a cardiac dysrhythmia?
(A) Alteration in comfort.
(B) Decreased cardiac output.
(C) Impaired gas exchange.
(D) Activity intolerance.
Q.61 The client is diagnosed with pericarditis. Which are the most common
signs/symptoms the nurse would expect to find when assessing the client?
(A) Pulses paradoxus.
(B) Complaints of fatigue and arthralgias.
(C) Petechiate of fatigue and splinter hemorrhages.
(D) Increased chest pain with inspiration.
Q.62 The client is diagnosed with acute pericarditis. Which sign/symptom warrants
immediate attention by the nurse?
(A) Muffed heart sounds.
(B) Nondistended jugular veins.
(C) Bounding peripheral pulses.
(D) Pericardia} friction rubs.
Q.63 The client is admitted to the medical unit to rule out carditis. Which question
should the nurse ask the client during the admission interview to support this
diagnosis?
(A) "Have you had a sore throat in the last month?"
(B) "Do you use alcohol routinely?"
(C) "Do you have a family history of carditis?"
(D) "What over-the-counter (OTC) medications do you take?"
Q.64 The client with pericarditis is prescribed a nonsteroidal anti-inflammatory drug
(NSAID). Which teaching instruction should the nurse discuss with the client?
(A) Explain the importance of tapering off the medi~ation.
/ (B) Discuss that the medication will make th 1·
(
C) I . e c tent
d
nstruct th c Itent to take the medication with food.
rowsy
.
(D) T~ll th~ chent to t~e the medication when the pain level is around "8"
Q.65 The chent diagnosed with pericarditis is c . . f. . ·.
• • h omp1ammg o mcreased pam Which
mtervent1~n. s ould the nurse implement first? ·
(A) Admm1ster oxygen via nasal cannula.
(B) Evaluate the client's urinary output.
(C) Assess the client for cardiac complications.
(D) E~cour~ge the clie?t to use the incentive spirometer.
Q.66
The_ chent d1agno~ed _with pe~carditis is experiencing cardiac tamponade.
Which collaborative mtervent1on should the nurse anticipate for the client?
(A) Prepare for a pericardiocentesis.
(B) Request STAT cardiac enzymes.
(C) Perform a 12-lead electrocardiogram.
(D) Assess the client's heart and lung sounds.
Q.67 The female client is diagnosed with rheumatic fever and prescribed penicillin,
and antibiotic. Which statement indicates the client needs more teaching
concerning the discharge teaching?
(A) "I must take all the prescribed antibiotics."
(B) "I may get a vaginal yeast infection with penicillin."
(C) "I will have no problems as long as I take my medication."
(D) "My throat culture was positive for a streptococcal infection."
Q.68 Which potential complication should the nurse assess for in the client with
infective endocarditic who has embolization of vegetative lesions from the
mitral valve?
(A) Pulmonary embolus.
(B) Cerebrovascular accident.
{C) Hemoptysis.
(D) Deep vein thrombosis.
Q.69 Which nursing diagnosis would be priority for the client diagnosed with
myocarditis?
(A) Anxiety related to possible long-term complications.
(B) High risk for injury related to antibiotic therapy.
(C) Increased cardiac output related to valve regurgitation.
(D) Activity intolerance related to impaired cardiac muscle function.
Q.70 The client diagnosed with pericarditis is being discharged home. Which
intervention should the nurse include in the discharge teaching?
(A) Be sure to allow for uninterrupted rest and sleep.
(B) Refer client to outpatient occupational therapy.
{C) Maintain oxygen via nasal cannula at two (2) L/min.
{D) Discuss upcoming valve replacement surgery.
Q.71 The client has just had a pericardiocentesis. Which interventions should the
nurse implement? Select all that apply.
(A) Monitor vital signs every 15 minutes for the first hour.
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(B) Assess the client's heart and lung sounds. \
(C) Record the amount of fluid removed as output.
(D) Evaluate the client's cardiac rhythm.
(E) Keep the client in the supine position.
Q. 72 The client with infective endocarditis is admitted to the medical department.
Which health-care provider's order should be implemented first?
(A) Administer intravenous antibiotic.
(B) Obtain blood cultures times two (2).
(C) -Schedule an echocardiogram.
(D) Encourage bedrest with bathroom privileges.