Nclex-Rn Practice Questions-Cardiovascular Disorders-Valve Disorders
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The nurse caring for clients on a medical unit thinks she hears a murmur while assessing the client. After determining that no other HCP have documented a murmur, which action should the nurse implement next?
Do nothing because the nurse was probably mistaken.
Document the finding in the client's chart.
Notify the HCP.
Ask the client if there is a history of a murmur.
The nurse is admitting a client diagnosed with a mitral valve murmur. Which information supports this finding?
The client has a history of rheumatic fever as a child.
The client takes an oral anticoagulant daily.
The client has elevated troponin levels.
The client recently took a vacation to Central America.
The client diagnosed with aortic stenosis scheduled for an echocardiogram tells the nurse, “I am scared. What will they do during the test?” Which statement is the nurse's best response?
We should discuss how you are feeling.”
“The doctor will insert a catheter into the artery in your groin.”
“I think you should talk with the doctor about you fears.”
“Sound waves will be used to determine how your heart is working.”
The client diagnosed with mitral valve stenosis complains of shortness of breath and chest pain while ambulating in the hall with a UAP. Which action should the nurse implement first?
Tell the UAP to take the client's vital signs.
Determine if this has happened to the client before.
Get a wheelchair for the client to sit down.
Have a stat electrocardiogram (ECG) done.
The client diagnosed with a grade II aortic murmur is admitted to the telemetry unit. Which symptoms should the nurse expect to assess?
Peripheral edema, jugular vein distention, and a productive cough.
A murmur heard with a stethoscope at the right sternal notch.
Shortness of breath on exertion and weakness.
Palpitations, fatigue, and pink frothy sputum.
The nurse is assisting the client diagnosed with cardiac valve disease to choose a menu for the next day. Which menu is most appropriate for this client?
A ham and cheese sandwich, potato chips, and 2% milk.
Roast beef, lettuce salad with low-fat dressing, and water.
Eggs, bacon, whole wheat toast, jelly, and black coffee.
Chicken-fried steak, mashed potatoes and gravy, and iced tea.
The 24-year-old female client has had surgery to replace a diseased mitral graft. Which information should the nurse teach the client prior to discharge?
Take your temperature four times a day and notify the HCP of the results.
Have routine International Normalized Ratio (INR) lab tests performed.
Limit lifting to less than 5 pounds until you are seen by the surgeon.
Your menses will be heavier because of the anticoagulant medications.
The nurse is preparing the 52-year-old male client di-agnosed with mitral valve regurgitation for surgery. Which statement by the client warrants immediate intervention?
“I have been told that I will be on medication for the rest of my life.”
“I get short of breath walking to the bathroom to bathe myself.”
“I made out an advance directive to make sure my wishes are known.”
“I will be in the intensive care unit for a day or two after surgery.”
The nurse is discharging a 65-year-old client diagnosed with aortic stenosis who had undergone mechanical valve replacement surgery. Which information should the nurse teach the client?
Splint the incision when turning, coughing, and deep breathing.
Sleep in a recliner or with the head on two pillows at night.
Avoid being around children or people who have had an immunization.
Take antibiotics prior to any dental or other invasive procedures.
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