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.
Correct Answer: 3, 4
Long-term anticoagulation therapy is not needed with a biologic valve. Biologic valves are less durable than mechanical valves; up to 50% must be replaced within 15 years. An audible click is associated with a mechanical valve. Mechanical valves do not necessarily need to be replaced. Long-term antibiotic therapy is not needed after valve replacement surgery.
You might also like to view...
Order: 640 mL Ensure to infuse NG tube over 8 hr. Available: 1,000 mL of Ensure What is the rate for this tube feeding? _______________
a. 10 mL/hr b. 80 mL/hr c. 640 mL/hr d. 64 mL/hr
When communicating with a client, the nurse recognizes that a barrier to effective communication is
a. cultural sensitivity. b. thinking ahead to the next question. c. completion of physical care in a nonhurried manner. d. focusing on the current questions asked by the client.
A patient diagnosed with probable Alzheimer's
disease is having his swallowing ability tested. His wife asks you why this is necessary. What is your best response? a. "This is a routine assessment that is completed for every patient." b. "The prescriber ordered this test to be done to prevent side effects of a new drug for your husband's disease." c. "This test tells us where your husband's swallowing is now, because it may get worse as his disease progresses." d. "We are concerned about whether we will need to place a feeding tube to give his medications."
A woman at 38 weeks gestation is in labor. The labor has been uneventful, and the fetal heart tracings have been normal. Spontaneous rupture of membranes occurs; fetal heart rate drops to 90 beats per minute for four minutes and then resumes a normal pattern. The most likely etiology for this fetal heart rate change is
A. Abnormal fetal presentation B. Impaired placental circulation C. Possible cord compression