The nurse is admitting a client who is scheduled for a valvular annuloplasty. The client asks why she needs her valve replaced. What are the most appropriate responses? Select all that apply

Question

1. "You are not having the valve replaced; you are having the fibrous ring at the junction of the valve leaflets and the muscular wall repaired.".
2. "Have you asked your surgeon this question?"
3. "You are having your valve replaced because it is diseased.".
4. "Due to valve stenosis, the valve leaflets must be separated.".
5. "Your family has been informed of the procedure.".

Answer 1

1. "You are not having the valve replaced; you are having the fibrous ring at the junction of the valve leaflets and the muscular wall repaired.".
2. "Have you asked your surgeon this question?"

Rationale: "You are not having the valve replaced; you are having the fibrous ring at the junction of the valve leaflets and the muscular wall repaired.". An annuloplasty is a repair procedure, not a valve replacement surgery, that is for valve regurgitation, not stenosis. "Have you asked your surgeon this question?" The client needs to talk to the surgeon in order to have informed consent before surgery. "You are having your valve replaced because it is diseased.". Telling the client that the valve is being replaced is inaccurate. "Due to valve stenosis, the valve leaflets must be separated.". This client does not have valve stenosis, she has regurgitation. "Your family has been informed of the procedure.". This is inappropriate because in order for the client to sign for the surgery, she must understand the procedure in order to have informed consent.