A patient being admitted for valvular annuloplasty says, "I still don't understand why I need my valve replaced now. I've had this floppy valve for years."

Question

How should the nurse respond? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 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. "You are having your valve replaced because it is diseased."
3. "Due to valve stenosis, the valve leaflets must be separated."
4. "Your family has been informed of the procedure."
5. "What did your surgeon tell you about the procedure?"

Answer 1

1,5
Rationale 1: An annuloplasty is a valve repair procedure, not a valve replacement surgery.
Rationale 2: Telling the patient that the valve is being replaced is inaccurate.
Rationale 3: This patient does not have valve stenosis but regurgitation, as evidenced by the description of a "floppy valve.".
Rationale 4: The patient must understand the procedure to give informed consent.
Rationale 5: The patient should discuss the surgery in detail with the surgeon before giving consent. The nurse should assess what information was provided and reinforce the teaching.