Med surg cardiovascular review

The nurse is reinforcing discharge instructions for a client who received a mechanical heart valve. Whata statement made by the client indicates to the nurse that instructions are understood? A.I will have to take life long anti-coagulant therapy B. My valve will Have be replaced in 10 years C. I will not be able to exercise or participate in previous activities D. I will have to be on immune suppressant therapy for the duration of my life - Answer- "I will have to take lifelong anticoagulation therapy." R: Although mechanical heart valves (MHV) are more durable than tissue valves, they are more thrombogenic. Consequently, patients with MHV require long-term anticoagulation with vitamin K antagonists, such as warfarin. A client is preparing to have an angiocardiagram in the morning. What data should the nurse obtain in preparation for this test? Ask if the client has crutches or a cane to use after the test. Ask if the client has a family member that had this test. Ask if the client has received a yearly flu shot. Ask if the client is allergic to shellfish or iodine. - Answer- d. Ask if the client is allergic to shellfish or iodine. The nurse is reinforcing education for a client with hypertension. What statement made by the client indi- cates that further education is required? "I will apply methods to reduce stress in my life." "I don't have to take my antihypertensives if I am feeling well." "I will reduce the cholesterol and salt intake in my diet." blood pressure routinely at "I will measure my blood pressure routinely at home." - Answer- "I don't have to take my antihypertensives if I am feeling well." A client having an implantable cardioverter- defibrillator asks the nurse, "What should I do if I feel a shock and am alone?" What is the best response by the nurse? "Lie down and call 911." "Continue previous activity." "Chew an aspirin tablet." "Take an extra dose of your antiarrhythmic medication." - Answer- Lie down and call 911 A client is diagnosed with pulmonary edema and having pink, frothy sputum, and crackles in both lungs. What nursing intervention should be provided at this time? Select all that apply. Administer morphine sulfate as ordered. Administer furosemide as ordered Place the legs in a dependent position Administer oxygen as ordered. Plac