TEST BANK NUR 1300 Chapter 23. Nursing Care of Patients With Valvular, Inflammatory, and Infectious Cardiac or Venous D

Chapter 23. Nursing Care of Patients With Valvular, Inflammatory, and Infectious Cardiac or Venous Disorders Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. The nurse is reinforcing discharge instructions to a patient who has a mitral valve prolapse. What information should be included? a. “Begin a home aerobic exercise program.” b. “Perform hourly leg exercises if lying down.” c. “Deep breathe and cough hourly when awake.” d. “You may have a possible need for prophylactic anticoagulants.” ____ 2. The nurse is reinforcing teaching for a patient who has had a mechanical valve replacement. What should be included regarding safety during warfarin (Coumadin) therapy? a. Wear Medic-Alert identification. b. Use a straight razor when shaving. c. Keep yearly blood test appointments. d. Increase intake of green leafy vegetables. ____ 3. The nurse is collecting data from a patient who has mitral stenosis. For which condition should the nurse assess in the patient’s history? a. Meningitis b. Scarlet fever c. Rheumatic fever d. Rheumatoid arthritis ____ 4. The nurse is reinforcing teaching provided to a patient with aortic stenosis. Which statement indicates that the patient correctly understands what happens in aortic stenosis? a. “There is impaired emptying of the left ventricle.” b. “There is impaired emptying of the right ventricle.” c. “There is backflow of blood into the left ventricle.” d. “There is backflow of blood into the right ventricle.” ____ 5. A patient with mitral regurgitation asks what the health problem means. What should the nurse explain to the patient? a. “There is impaired emptying of the left atrium.” b. “There is backflow of blood into the left atrium.” c. “There is impaired emptying of the right atrium.” d. “There is backflow of blood into the right atrium.” ____ 6. While collecting data on a patient with aortic stenosis the nurse monitors for signs of heart failure. What is the nurse monitoring for heart failure as a complication of aortic stenosis? a. Cardiac workload is increased from reduced cardiac output. b. Cardiac workload is decreased from reduced cardiac output. c. Cardiac workload is increased from increased cardiac output. d. Cardiac workload is decreased from increased cardiac output. ____ 7. A patient with chronic mitral regurgitation states, “I am always so tired.” Which factor should the nurse identify as contributing to this patient’s fatigue? a. Coughing b. Heart murmur c. Pulmonary congestion d. Decreased cardiac output ____ 8. The nurse is contributing to a patient’s plan of care. During medication administration, which medication would the nurse understand as being prescribed to treat a patient with aortic stenosis who has symptoms of heart failure? a. Heparin b. Bumetanide (Bumex) c. Digitalis d. Warfarin (Coumadin) ____ 9. The nurse is caring for a patient who has a valvular problem. The patient states the doctor is ordering something that measures the pressures in the patient’s heart. Which diagnostic test should the nurse anticipate scheduling for the patient? a. Echocardiogram b. Chest radiograph c. Electrocardiogram d. Cardiac catheterization ____ 10. The nurse is contributing to a patient’s plan of care. Which statement is a desired outcome for the nursing diagnosis of Deficient Knowledge related to a new medical diagnosis of mitral valve prolapse? a. Exhibits less fatigue during self-care b. Clear breathing sounds, no edema or weight gain c. States ability to comply with therapeutic regimen d. Verbalizes definition of disorder and manifestations ____ 11. The nurse is providing discharge teaching for a patient with mitral stenosis. What should the nurse in- clude in this teaching? a. “The medications you will be taking make your blood thicker, so you are at risk for small clots to form.” b. “It is important that you increase your fluid intake and take iron supplements so that your body can make enough blood for your heart to pump around.” c. “Your blood is rushing through your heart so fast that it may not give your heart enough oxygen and you may have something called angina, or heart pain.” d. “Because of your heart condition, the blood flow through your heart is slower and blood may tend to pool in certain areas, which might allow tiny clots to form.”