Exam 55: Management of Clients with Structural Cardiac Disorders

For a client waiting for a heart transplant who has been fitted with a left ventricular assist device (LVAD), the nurse would explain that the purpose of this device is to

A client with mitral stenosis tells the nurse that she will not seek treatment for this disorder because she "doesn't really feel that bad." The nurse's best response would be that untreated mitral stenosis can result in

Examining the electrocardiogram strips of a client with mitral stenosis, the nurse would recognize the characteristic dysrhythmia of

When a client is hospitalized with dilated cardiomyopathy, the nurse would examine the client's record for the characteristic history of

The nurse would explain to a client that the catabolism related to the hypermetabolic state caused by the client's rheumatic fever can be avoided by eating a

To encourage a client recovering from endocarditis, the nurse would stress that new guidelines for home care are less restrictive than in the past and the client no longer needs to

The nurse caring for a client with acute infective endocarditis would frequently assess for

In counseling a client who is considering a heart transplant, the nurse would know the client has an accurate perception of this treatment option when the client says

When the client with rheumatic fever becomes irritable and impatient with the restrictions of the disease, the home health nurse would remind the client that manifestations of rheumatic fever usually abate in about

The nurse auscultating heart sounds notes that a client has an opening snap and a low-pitched, rumbling murmur over the apex. This assessment would indicate

In caring for a client considering mechanical mitral valve replacement, the essential determination for the nurse (and physician) to make would be whether the client can or will

The nurse would stress in a discharge teaching plan for a client recovering from endocarditis that to avoid further complication, the client should

When performing cardiac auscultation on a client with mitral valve prolapse, the nurse would anticipate hearing a

In the discharge teaching plan of a client with chronic myocarditis, the nurse would include the suggestion that

The nurse teaching a class on long-term effects of rheumatic fever would stress that the most common problem following bouts of rheumatic fever is

The nurse would recognize that splinter hemorrhages in the nails, painful swollen nodules on the fingertips, and splenomegaly indicate

The change in vital signs that would most strongly suggest cardiac tamponade to the nurse is

To help relieve the discomfort of a client with pericarditis who is experiencing pain, the nurse would position the client

For a client who has undergone a tissue valve replacement, the most appropriate anticipatory guidance provided by the nurse would be

A client has dilated cardiomyopathy and is angry and irritable to all the nursing staff. When planning care for this client, which nursing diagnoses would be the priority to address this problem?