A nurse cares for a client with end-stage heart failure who is awaiting a transplant. The client appears depressed and states, I know a transplant is my last chance, but I don't want to become a vegetable. How should the nurse respond?
a. Would you like to speak with a priest or chaplain?
b. I will arrange for a psychiatrist to speak with you.
c. Do you want to come off the transplant list?
d. Would you like information about advance directives?
Question 2After teaching a client who is recovering from a heart transplant to change positions slowly, the client asks, Why is this important? How should the nurse respond?
a. Rapid position changes can create shear and friction forces, which can tear out your internal vascular sutures.
b. Your new vascular connections are more sensitive to position changes, leading to increased intravascular pressure and dizziness.
c. Your new heart is not connected to the nervous system and is unable to respond to decreases in blood pressure caused by position changes.
d. While your heart is recovering, blood flow is diverted away from the brain, increasing the risk for stroke when you stand up.
Question 3A nurse assesses a client with pericarditis. Which assessment finding should the nurse expect to find?
a. Heart rate that speeds up and slows down
b. Friction rub at the left lower sternal border
c. Presence of a regular gallop rhythm
d. Coarse crackles in bilateral lung bases
Question 4After teaching a client who is being discharged home after mitral valve replacement surgery, the nurse assesses the client's understanding. Which client statement indicates a need for additional teaching?
a. I'll be able to carry heavy loads after 6 months of rest.
b. I will have my teeth cleaned by my dentist in 2 weeks.
c. I must avoid eating foods high in vitamin K, like spinach.
d. I must use an electric razor instead of a straight razor to shave.
Question 5A nurse cares for a client with infective endocarditis. Which infection control precautions should the nurse use?
a. Standard Precautions
b. Bleeding precautions
c. Reverse isolation
d. Contact isolation