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Chapter 28 & 29_ More Cardiac Disorders Questions with verified correct answers
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Chapter 28 & 29: More Cardiac DisordersA client with aortic stenosis is reluctant to have valve replacement surgery. A nurse
is present when the health care provider talks to the client about a treatment that is
✅✅
less invasive than surgery which will likely relieve some of the client's symptoms.
What treatment option has been discussed? - -Balloon percutaneous
valvuloplasty
✅✅
The school nurse is providing care to a child with a sore throat. With any sign of
throat infection, the nurse stresses which of the following? - -Obtaining a throat
culture
A nurse working at a pediatric clinic is teaching a group of parents. A parent asks the
nurse if it is okay to let the young child recover from a sore throat naturally, rather
✅✅
than bringing the child to the clinic for diagnosis and treatment. What is the nurse's
best response? - -"It may be streptococcal sore throat. Rheumatic heart
disease can be prevented with early treatment."
✅✅
Which type of graft is used when a heart valve replacement is made of tissue from
an animal heart valve? - -Heterograft
✅✅
During auscultation of a client, the nurse suspects a diagnosis of mitral valve
regurgitation when hearing which of the following? - -High-pitched blowing
sound at the apex
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A nurse evaluates a client and suspects pericarditis. What indicator is considered the
most characteristic symptom of pericarditis? - -Chest pain
The nurse is working with a client who asks what diagnostic studies will be done
✅✅
because of a suspected diagnosis of mitral stenosis. What studies will the nurse
teach the client? Select all that apply. - -exercise test
cardiac catheterization
electrocardiography
An adult client with a tentative diagnosis of infective endocarditis is admitted to an
acute care facility. The medical history reveals diabetes mellitus, hypertension, and
pernicious anemia. The client underwent an appendectomy 20 years earlier and an
✅✅
aortic valve replacement 2 years before this admission. What history finding is a
major risk factor for infective endocarditis? - -History of aortic valve
replacement
✅✅
While assessing a patient with pericarditis, the nurse cannot auscultate a friction rub.
Which action should the nurse implement? - -Ask the patient to lean forward
and listen again.
, A client reporting heart palpitations is diagnosed with atrial fibrillation caused by
mitral valve prolapse. To relieve the symptoms, the nurse should teach the client
which dietary intervention?
You Selected: - ✅✅-Eliminate caffeine and alcohol
The nurse obtains a health history from a client with a prosthetic heart valve and new
✅✅
symptoms of infective endocarditis. Which question by the nurse is most appropriate
to ask? - -"Have you been to the dentist recently?"
Invasive procedures, particularly those involving mucosal surfaces (e.g., those
involving manipulation of gingival tissue or periapical regions of teeth), can cause a
bacteremia, which rarely lasts more than 15 minutes. However, if a client has any
anatomic cardiac defects or implanted cardiac devices (e.g., prosthetic heart valve,
pacemaker, implantable cardioverter defibrillator), bacteremia can cause bacterial
endocarditis.
A nurse is teaching a client about mitral stenosis and the effect on blood flow in the
✅✅
heart. What is teaching point of the disruption to the normal flow of blood through the
heart from the mitral stenosis? - -increased resistance of a narrowed orifice
between the left atrium and the left ventricle
The nurse is teaching a client scheduled for an autograft aortic valve replacement.
✅✅
What statements are true about autograft replacement process? Select all that apply.
- -The grafts are obtained by excising the client's own pulmonic valves and a
portion of the pulmonary artery.
The autograft is an alternative for children and women of child-bearing age.
Aortic valve autografts have remained viable for more than 20 years.
During a teaching session, a client who is having a valuloplasty tomorrow asks the
✅✅
nurse about the difference between a mechanical valve replacement and a tissue
valve. What answer from the nurse is correct? - -"A mechanical valve is
thought to be more durable and so requires replacement less often."
✅✅-"I
The nurse determines that a client recently diagnosed with subacute bacterial
endocarditis understands discharge teaching upon which client statement? -
have to call my doctor so I can get antibiotics before seeing the dentist."
A client with a history of cardiomyopathy experiences dyspnea on exertion, fatigue,
✅✅
leg swelling, and chest pain. This client has which type of cardiomyopathy? -
-dilated cardiomyopathy
Peripartum cardiomyopathy may develop in women shortly before or after giving
birth. Hypertrophic cardiomyopathy is associated with syncope, fatigue, SOB, and
chest pain. Restrictive cardiomyopathy has symptoms of exertional dyspnea,
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