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concept of nursing 1
Valvular Heart Disease
Question | Answer |
---|---|
Which subjective symptoms would the nurse recognize as being associated with chronic mitral valve regurgitation? | -Dyspnea -Chest pain -eneralized fatigue |
The nurse is caring for a patient with diagnosed aortic regurgitation. Which patient history finding would the nurse note as a possible cause? | Untreated strep pharyngitis |
The nurse is caring for a patient who reports frequent angina, dyspnea on exertion, and peripheral edema. The nurse notes a systolic murmur on auscultation and crackles in the lungs. Which diagnostic test would the nurse anticipate? | Transesophageal echocardiogram |
A nurse is assessing an older adult patient with mitral valve stenosis and a history of unstable angina. Which therapy would the nurse anticipate as a conservative therapy for this patient? | Percutaneous transluminal balloon valvuloplasty |
The nurse is caring for a 72-year-old patient with a history of alcohol-related cirrhosis and who has been diagnosed with aortic stenosis. Previous drug therapy and valve repair were unsuccessful. Which procedure would the nurse anticipate? | Biologic valve replacement |
A 32-year-old female patient with valvular heart disease has been treated with metoprolol and digoxin for several years. After undergoing transcutaneous valvuloplasty, the patient continues to experience dyspnea and pulmonary edema. | -- |
Which treatment would the nurse anticipate next? | Biologic valve replacement |
The nurse is caring for a patient with mitral stenosis and who experiences nausea, muscle weakness, and chest heaviness. The nurse notes an apical pulse of 58 bpm. Which action is most important for the nurse to take? | Hold the PO digoxin |
The nurse is caring for a patient after valve replacement surgery. The patient reports chest pain 6/10 and mild dyspnea. The nurse notes oxygen saturation 92% on 2L via NC, HR 68 bpm, BP 86/42 mmHg, and respirations 16 per minute. | -- |
Which action is most important for the nurse to take? | Give IV normal saline bolus |
The nurse is performing a follow-up assessment for a patient after open surgical valvuloplasty. Which assessment findings would be concerning? | -Dry cough -Orthopnea -Peripheral edema -Saturated surgical dressing |