Chapter 29: Management of Patients With Structural, Infectious, and Inflammatory Cardiac Disorders
Multiple Choice 1. A nurse is caring for a patient with mitral stenosis. Based on the pathophysiology of this disease process, the nurse would expect the patient to exhibit which of the following heart rhythms? A) Normal sinus rhythm B) Supraventricular tachycardia C) Atrial fibrillation D) Electromechanical dissociation Ans: C Chapter: 29 Cognitive Level: Application Difficulty: Moderate Integrated Process: Nursing Process Objective: 1 Patient Needs: A-1 Feedback: A patient with mitral stenosis has a weak and often irregular pulse because of atrial fibrillation (caused by strain on the atrium). A low-pitched, rumbling, diastolic murmur is heard at the apex. The patient experiences atrial dysrhythmias. An echocardiogram is used to diagnose mitral stenosis. 2. Patients with mitral stenosis may be placed on anticoagulant therapy. The nurse knows that this type of therapy may be instituted to decrease the risk of which of the following? A) Ventricular hypertrophy B) Pulmonary embolism C) Deep vein thrombosis D) Atrial thrombus Ans: DChapter: 29 Cognitive Level: Application Difficulty: Moderate Integrated Process: Nursing Process Objective: 1 Patient Needs: D-3 Feedback: Patients with mitral stenosis may benefit from anticoagulants to decrease the risk for developing atrial thrombus. Anticoagulant therapy may be instituted in patient with pulmonary emboli and deep vein thrombosis.
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