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NURS 24 EXAM 3 CHAPTER 28 With Complete Questions And Answers
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NURS 24 EXAM 3 CHAPTER 28 With CompleteQuestions And Answers
Which type of following kinds of cardiomyopathy does the heart muscle actually
increase in size and mass weight especially along the septum? - Answer Hypertrophic
Which type of graft is used when a heart valve replacement is made of tissue from an
animal heart valve? - Answer Heterograft
A heterograft, which is also called bioprosthesis, is a replacement with animal tissue,
most commonly used from pigs but sometimes from cows or horses. An autograft is a
replacement of a heart valve with the client's own heart valve. Allograft replacement is
by human tissue and its synonym is homograft.
A client is hospitalized with aortic stenosis. What assessment findings would reflect the
onset of left ventricular failure? -Answer Dyspnea, orthopnea, pulmonary edema
Symptoms of progressive left-sided ventricular failure includes respiratory distress
such as orthopnea, PND, and pulmonary edema. The distended jugular veins, pedal
edema, nausea are related to symptoms and signs of right sided heart failure.
A client is diagnosed with dilated cardiomyopathy. What is the most likely cause of the
client's condition? Answer Chronic alcohol use
The nurse is caring for a patient diagnosed with pericarditis. What serious complication
should this patient be monitored for? Answer Cardiac tamponade
This inflammatory process of pericarditis can lead to fluid accumulation within the
pericardial sac, putting increased pressure on the heart-a condition known as cardiac
tamponade.
A nurse in a pediatric clinic is conducting an educational session for several parents.
One of the parents asks the nurse if it is acceptable just to allow a young child to
recover from a sore throat without bringing him to the clinic for diagnosis and
treatment. What is the most appropriate response from the nurse? -Answer "It could be
, streptococcal sore throat. Rheumatic heart disease can be prevented with early
treatment."
The nurse is providing teaching to a client who has been diagnosed with
cardiomyopathy. Which of the following statements is an appropriate teaching point?
Answer The treatments for include pharmacological agents, medical devices, surgery
or transplantation.
A nurse is caring for a client who is receiving warfarin therapy after a mechanical valve
replacement. The client had a prothrombin time and International Normalized Ratio
(INR) drawn before breakfast. The laboratory report indicates that the client's INR
reading was 4. What is the nurse's first priority? Answer Assess the client for bleeding
and notify the health care provider of the results.
A client is being discharged home with a diagnosis of endocarditis. Which statement by
the client indicates effective teaching regarding prevention of recurrence of the
infection? "I will ask for antibiotics whenever I have dental work done."
Prophylaxis The patient should receive antibiotics for dental procedures that involve
manipulation of gingival tissue or the periapical area of teeth or perforation of the oral
mucosa. The following are exceptions to this guideline: routine anesthetic injections
through noninfected tissue, placement of orthodontic brackets, loss of deciduous teeth,
bleeding from trauma to the lips or oral mucosa, dental x-rays, adjustment of
orthodontic appliances, and placement of removable prosthodontic or orthodontic
appliances.
The nurse is providing discharge teaching to a client with recurrent endocarditis. What
prevention strategies will be included with the teaching? Select all that apply. - Answer
use a nail clipper for fingernail care
report recurrent fever lasting longer than 7 days to the health care provider
notify dentist of the history of endocarditis with any planned dental procedures
Which mitral valve condition generally produces no symptoms? - Answer Prolapse
During a teaching session, a client who is to undergo a valvuloplasty tomorrow asks the
nurse about the difference between a mechanical valve replacement and a tissue valve.
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