JERSEY COLLEGE MED SURG CHP 28 MANAGEMENT OF
PATIENTS WITH STRUCTURAL, INFECTIOUS AND
INFLAMMATORY CARDIAC DISORDERS
Which nursing intervention should a nurse perform when a client with
cardiomyopathy receives a diuretic?
Answers Check regularly for dependent edema
While assessing a patient with pericarditis, the nurse cannot auscultate a friction
rub. Which action should the nurse implement?
Answers Ask the patient to lean forward and listen again.
Which nursing intervention would reduce cardiac workload in a client with
myocarditis?
Answers Maintain the client on bed rest.
A client with a confirmed DVT is being discharged from the ED. Which client
statement indicates that the client has received proper nursing instruction and
understands how to manage this condition?
Answers "I need to do my leg exercises five times or more every hour."
A client is admitted to the hospital with possible acute pericarditis and pericardial
effusion. The nurse knows to prepare the client for which diagnostic test to confirm
the client's diagnosis?
Answers Echocardiography
(Echocardiography is useful in detecting the presence of pericardial effusions
associated with pericarditis. An echocardiogram may detect inflammation,
,pericardial effusion, tamponade, and heart failure. It may help confirm the
diagnosis.)
If a client were to develop rheumatic carditis, which cardiac structure would most
likely be affected?
Answers mitral valve
Which common assessment question does the nurse use when admitting all clients
that helps to screen for cardiomyopathy?
Answers Have you ever had a close family member die unexpectedly?
A client with a myocardial infarction develops acute mitral valve regurgitation. The
nurse knows to assess for which manifestation that would indicate that the client is
developing pulmonary congestion?
Answers Shortness of breath
A client with endocarditis is being discharged home. What statement indicates
effectiveness of client teaching about preventing recurrence of the infection?
Answers I will ask for antibiotics whenever I have dental work done."
A nurse is teaching a client about mitral stenosis and the effect on blood flow in the
heart. What is teaching point of the disruption to the normal flow of blood through
the heart from the mitral stenosis?
Answers increased resistance of a narrowed orifice between the left atrium and the
left ventricle
Which instruction should a nurse provide a client with a history of rheumatic fever
before the client has any dental work done?
Answers To take prophylactic antibiotics
, A nurse plans to have an education session with a client with cardiomyopathy and
the client's spouse about ways to increase activity tolerance. What instructions
would the nurse provide?
Answers Alternate active periods with rest periods.
The nurse determines that a patient has a characteristic symptom of pericarditis.
What symptom does the nurse recognize as significant for this diagnosis?
Answers Constant chest pain
(The most characteristic symptom of pericarditis is chest pain, although pain also
may be located beneath the clavicle, in the neck, or in the left trapezius (scapula)
region. Pain or discomfort usually remains fairly constant, but it may worsen with
deep inspiration and when lying down or turning.)
A nurse working at a pediatric clinic is teaching a group of parents. A parent asks
the nurse if it is okay to let the young child recover from a sore throat naturally,
rather than bringing the child to the clinic for diagnosis and treatment. What is the
nurse's best response?
Answers "It may be streptococcal sore throat. Rheumatic heart disease can be
prevented with early treatment."
(A sore throat may be streptococcal pharyngitis. Diagnosing and treating the sore
throat can prevent rheumatic fever and, therefore, rheumatic heart disease. Letting
children recover naturally can be dangerous if the sore throat is a streptococcal
infection. The use of antibiotics is considered by each prescribing heath care
provider. General statements about treatments are not helpful.)
A nurse is caring for a young female adult client diagnosed with atrial fibrillation
who has just had a mitral valve replacement. The client is being discharged with
prescribed warfarin. The client mentions to the nurse that she relies on the rhythm
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