The nurse is caring for a patient who is scheduled for a balloon valvuloplasty. The nurse recalls that balloon valvuloplasty is most commonly used for which valvular heart disease?
A) Aortic regurgitation
B) Mitral valve prolapse
C) Mitral stenosis
D) Mitral regurgitation
Ans: C
Feedback: Balloon valvuloplasty is most commonly used for patients diagnosed with mitral stenosis or aortic valve stenosis in elderly patients. For patients with mitral regurgitation, rotation of the great vessels, and thoracolumbar scoliosis, balloon valvuloplasty is contraindicated
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When a patient is admitted with an overdose of an opioid narcotic, the nurse should anticipate an order for which drug to reverse the effects of the narcotic?
a. Clonidine b. Narcan c. Orlaam d. Methadone
The nurse is administering warfarin (Coumadin) to a patient with deep vein thrombophlebitis. Which laboratory value indicates warfarin is at therapeutic levels?
A) Partial thromboplastin time (PTT) 1½ to 2 times the control B) Prothrombin time (PT) 1½ to 2 times the control C) International normalized ratio (INR) of 3 to 4 D) Hematocrit of 32%
Instructions for families to deal with the spatial disorientation of clients with dementia should include
A) keeping all familiar objects in the home even if some of the objects clutter the environment. B) simplifying rooms but keeping familiar furniture in the same space; removing clutter. C) having objects of attention the same color as the room; for example a white toilet in a white bathroom will decrease stimulation and anxiety. D) being aware that clients in the early stages usually have few problems with unfamiliar places.
The nurse should expect a father's initial response to the newborn as one of
a. disinterest c. engrossment b. uneasiness d. passiveness