Medsurg Chapter 35
A nurse teaches a client recovering from a heart transplant who is prescribed cyclosporine ( Sandimmune ). Which statement should the nurse include in the client's discharge teaching?
" Avoid large crowds and people who are sick "
A nurse cares for a client recovering from prosthetic valve replacement surgery. The client asks, " Why will I need to take anticoagulants for the rest of my life? " How should the nurse respond?
" Blood clots form more easily in artificial replacement valves "
A nurse teaches a client who is prescribed digoxin ( Lanoxin ) therapy. Which statement should the nurse include in this client's teaching?
" Do no take this medication within 1 hour of taking an antacid "
After 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?
" I will have my teeth cleaned by my dentist in 2 weeks "
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?
" Would you like information about advance directives? "
After 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?
" Your new heart is not connected to the nervous system and is unable to respond to decreases in blood pressure caused by positon changes "
A nurse assesses client on a cardiac unit. Which client should the nurse identify as at greatest risk for the development of acute pericarditis?
A 36 year old woman with systemic lupus erythematosus ( SLE ) A 42 year old recovering from coronary artery bypass graft surgery An 80 year old man with a bacterial infection of the respiratory tract
A nurse assesses a client with mitral valve stenosis. What clinical manifestation should alert the nurse to the possibility that the client's stenosis has progressed?
Dyspnea on exertion
A nurse assesses a client with pericarditis. Which assessment finding should the nurse expect to find?
Friction rub at the left lower sternal border
A nurse assesses a client who is diagnosed with infective endocarditis. Which assessment findings should the nurse expect?
Night sweats Cardiac murmur Osler's nodes
A nurse assesses a client who is recovering from a heart transplant. Which assessment findings should alert the nurse to the possibility of heart transplant rejection?
Shortness of breath Abdominal bloating New-onset bradycardia
A nurse assesses a client who has mitral valve regurgitation. For which cardiac dysrhythmia should the nurse assess?
Sinus tachycardia
A nurse is caring with acute pericarditis who reports substenal precordial pain that radiates to the left side of the neck. Which nonpharmacologic comfort measure should the nurse implement?
Sit the client up with a pillow to lean forward on
A nurse cares for a client with infective endocarditis. Which infection control precautions should the nurse use?
Standard Precautions
