Chapter 23. Nursing Care of Patients
With Valvular, Inflammatory, and
Infectious Cardiac or Venous
Disorders ||Newest Update
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?
1.
Wear medial alert identification.
2.
Use a straight razor when shaving.
3.
Keep yearly blood test appointments.
4.
Increase intake of green leafy vegetables.
Page: 375 -CORRECT ANSWER ANS: 1
Feedback
1
If the patient is on anticoagulants for mechanical valve replacement, medical
identification should be used.
2
Avoid a straight razor to avoid cuts and bleeding.
3
Monthly blood tests are done.
4
A steady (rather than fluctuating) amount of green leafy vegetables should be eaten so
that international normalized ratio (INR) values do not fluctuate due to the vitamin K
found in these foods.
The nurse is caring for a group of patients on the cardiac unit. Which patient is at
highest risk for mitral valve prolapse?
1.
A 12-year-old male
2.
An 18-year-old female
3.
A 25-year-old male
4.
A 40-year-old female
Page: 375 -CORRECT ANSWER ANS: 2
,Feedback
1
This patient is not at high risk for mitral valve prolapse.
2
This patient is both between the ages of 15 and 30 and a female, placing this patient at
highest risk.
3
This patient is not at highest risk for mitral valve prolapse.
4
This patient is not at highest risk for mitral valve prolapse.
The nurse is teaching a patient about mitral valve prolapse and lifestyle modifications.
Which statement made by the patient indicates a need for further teaching?
1.
"I should cut coffee out of my diet."
2.
"I need to avoid physical activity."
3.
"I have been practicing yoga to reduce stress."
4.
"I will need to follow a balanced diet."
Page: 375 -CORRECT ANSWER ANS: 2
Feedback
1
Caffeine should be avoided; this is an accurate statement.
2
Exercise should be encouraged, not avoided.
3
This is an accurate statement.
4
This is an accurate statement.
The nurse is caring for a patient with aortic regurgitation. Which interventions should the
nurse implement?
1.
Encourage the patient to perform all activities of daily living at once.
2.
Schedule activities with periods of rest.
3.
Elevate the head of bed (HOB) to 30 degrees.
4.
Apply oxygen at 2 liters/nasal cannula.
Page: 376 -CORRECT ANSWER ANS: 2
Feedback
1
The nurse should schedule activities with periods of rest.
, 2
This is an appropriate intervention.
3
The HOB should be elevated to 45 degrees.
4
The nurse needs an order to apply oxygen.
The nurse is caring for a patient receiving heparin for thrombophlebitis. The nurse
observes the patient has bleeding gums and black tarry stools. Which prescribed
medication should the nurse plan to administer?
1.
Vitamin K
2.
Naloxone (Narcan)
3.
Protamine sulfate
4.
Flumazenil (Romazicon)
Page: 393 -CORRECT ANSWER ANS: 3
Feedback
1
This is the antidote for Coumadin.
2
This is given for opioid overdose.
3
This is the antidote for heparin.
4
This is the antidote for benzodiazepines.
The nurse is assessing a patient who underwent valve replacement surgery. Which
finding should concern the nurse the most?
1.
Wet lung sounds
2.
Urine output 50 mL/hr
3.
Temperature of 99.1°F
4.
Chest tube drainage of 100 mL/hr
Page: 379 -CORRECT ANSWER ANS: 1
Feedback
1
Wet lung sounds are indicative of heart failure or pulmonary edema.
2
This is normal urine output.
3
With Valvular, Inflammatory, and
Infectious Cardiac or Venous
Disorders ||Newest Update
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?
1.
Wear medial alert identification.
2.
Use a straight razor when shaving.
3.
Keep yearly blood test appointments.
4.
Increase intake of green leafy vegetables.
Page: 375 -CORRECT ANSWER ANS: 1
Feedback
1
If the patient is on anticoagulants for mechanical valve replacement, medical
identification should be used.
2
Avoid a straight razor to avoid cuts and bleeding.
3
Monthly blood tests are done.
4
A steady (rather than fluctuating) amount of green leafy vegetables should be eaten so
that international normalized ratio (INR) values do not fluctuate due to the vitamin K
found in these foods.
The nurse is caring for a group of patients on the cardiac unit. Which patient is at
highest risk for mitral valve prolapse?
1.
A 12-year-old male
2.
An 18-year-old female
3.
A 25-year-old male
4.
A 40-year-old female
Page: 375 -CORRECT ANSWER ANS: 2
,Feedback
1
This patient is not at high risk for mitral valve prolapse.
2
This patient is both between the ages of 15 and 30 and a female, placing this patient at
highest risk.
3
This patient is not at highest risk for mitral valve prolapse.
4
This patient is not at highest risk for mitral valve prolapse.
The nurse is teaching a patient about mitral valve prolapse and lifestyle modifications.
Which statement made by the patient indicates a need for further teaching?
1.
"I should cut coffee out of my diet."
2.
"I need to avoid physical activity."
3.
"I have been practicing yoga to reduce stress."
4.
"I will need to follow a balanced diet."
Page: 375 -CORRECT ANSWER ANS: 2
Feedback
1
Caffeine should be avoided; this is an accurate statement.
2
Exercise should be encouraged, not avoided.
3
This is an accurate statement.
4
This is an accurate statement.
The nurse is caring for a patient with aortic regurgitation. Which interventions should the
nurse implement?
1.
Encourage the patient to perform all activities of daily living at once.
2.
Schedule activities with periods of rest.
3.
Elevate the head of bed (HOB) to 30 degrees.
4.
Apply oxygen at 2 liters/nasal cannula.
Page: 376 -CORRECT ANSWER ANS: 2
Feedback
1
The nurse should schedule activities with periods of rest.
, 2
This is an appropriate intervention.
3
The HOB should be elevated to 45 degrees.
4
The nurse needs an order to apply oxygen.
The nurse is caring for a patient receiving heparin for thrombophlebitis. The nurse
observes the patient has bleeding gums and black tarry stools. Which prescribed
medication should the nurse plan to administer?
1.
Vitamin K
2.
Naloxone (Narcan)
3.
Protamine sulfate
4.
Flumazenil (Romazicon)
Page: 393 -CORRECT ANSWER ANS: 3
Feedback
1
This is the antidote for Coumadin.
2
This is given for opioid overdose.
3
This is the antidote for heparin.
4
This is the antidote for benzodiazepines.
The nurse is assessing a patient who underwent valve replacement surgery. Which
finding should concern the nurse the most?
1.
Wet lung sounds
2.
Urine output 50 mL/hr
3.
Temperature of 99.1°F
4.
Chest tube drainage of 100 mL/hr
Page: 379 -CORRECT ANSWER ANS: 1
Feedback
1
Wet lung sounds are indicative of heart failure or pulmonary edema.
2
This is normal urine output.
3
