Med Surg CH.37, Nursing Management: Inflammatory and Structural Heart Disorders- Valvular Disease and Cardiomyopathy EXAM WITH COMPLETE SOLUTIONS

Med Surg CH.37, Nursing Management: Inflammatory and Structural Heart Disorders- Valvular Disease and Cardiomyopathy EXAM WITH COMPLETE SOLUTIONS A nurse is performing discharge teaching for a patient with dilated cardiomyopathy. Which patient statement indicates a need for further teaching? 1. "I will report shortness of breath to my health care provider." 2. "My family members will learn cardiopulmonary resuscitation." 3. "Surgery is a possible treatment option to relieve my symptoms." 4. "Alternate periods of rest with required activities of daily living." - ANS3. "Surgery is a possible treatment option to relieve my symptoms." Surgery is not a possible treatment option for dilated cardiomyopathy. Surgery for hypertrophic cardiomyopathy is a possible treatment option to improve the patient's symptoms. Discharge teaching includes reporting shortness of breath to the health care provider to assess possible worsening of heart failure. Also, family members and caregiver(s) are encouraged to learn cardiopulmonary resuscitation because ventricular dysrhythmias associated with dilated cardiomyopathy are a common cause of sudden cardiac death. Alternating periods of rest with activity is needed to reduce the workload of the heart. The nurse is caring for a patient with valvular heart disease who experiences atrial dysrhythmias. Which type of medication does the nurse anticipate in the prescription? 1. Nitrates 2. Positive inotropes 3. Calcium channel blockers 4. Angiotensin-converting enzyme (ACE) inhibitors - ANS3. C