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