A male client with a history of mitral valve prolapse is admitted…

A male client with a history of mitral valve prolapse is admitted because of fever and dyspnea on exertion and is diagnosed with acute infective endocarditis. During the admission assessment, the nurse observes multiple areas of petechiae on the client’s skin. Which interventions should the nurse include in the clients plan of care? (Select all that apply.)
A) Monitor cardiac rhythm via telemetry.
B) Report changes in pre-existing murmurs.
C) Schedule rest periods between activities.
D) Maintain record of fluid intake and output.
E) Initiate contact transmission precautions.

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