A patient is scheduled for surgery to replace the mitral valve with a biologic heterograft valve. ...

A patient is scheduled for surgery to replace the mitral valve with a biologic heterograft valve. What should the nurse include when instructing the patient about this surgery?
 
  Select all that apply.
 
  1. There will be an audible click with this valve.
  2. The valve will not need to be replaced.
  3. Long-term anticoagulation therapy is not necessary.
  4. The valve will likely need to be replaced in 15 years.
  5. Long-term antibiotic therapy is needed after the surgery.

Question 2

A patient with rheumatic heart disease is being discharged. What should the nurse include in the patient's discharge instructions?
 
  Select all that apply.
 
  1. Perform dental hygiene several times a day.
  2. Complete the full course of prescribed antibiotics.
  3. Take antibiotics as prescribed before dental work.
  4. Restrict fluids and limit activity while taking medication.
  5. Notify the physician if you develop a sore throat or other infection.

Question 3

A patient is undergoing diagnostic tests for aortic regurgitation. Which findings should the nurse expect to assess in this patient?
 
  Select all that apply.
  1. dizziness
  2. head bobbing
  3. peripheral edema
  4. throbbing neck pulse
  5. palpitations in the supine position

Question 4

During a home visit the nurse suspects that a patient with heart failure needs additional teaching. What did the nurse observe to make this decision?
 
  Select all that apply.
 
  1. The patient lifted an 18-month-old child off the floor.
  2. The patient's lunch was a small salad and half a sandwich.
  3. The patient drank from a pitcher of water on the coffee table.
  4. The patient documented the frequency and amount of walking completed.
  5. Working in the kitchen, the patient was obviously sweating and short of breath.

Question 5

The nurse auscultates a heart murmur that is continuous and rumbling and increases in sound toward the end. Which conditions should the nurse suspect this patient might be experiencing?
 
  Select all that apply.
 
  1. mitral stenosis
  2. tricuspid stenosis
  3. mitral regurgitation
  4. aortic regurgitation
  5. tricuspid regurgitation

Question 6

A male patient of African-American descent is prescribed hydralazine and isosorbide (BiDil) as treatment for heart failure. What should the nurse instruct the patient about this medication?
 
  Select all that apply.
 
  1. Change positions slowly.
  2. Dizziness and fainting are expected adverse effects of this medication.
  3. You may have a headache when starting this medication, but it will subside.
  4. Notify the healthcare provider if you have chest pain while taking this medication.
  5. Do not take medications to treat erectile dysfunction while taking this medication.