The nurse is providing discharge teaching for a patient with mitral stenosis. What should the nurse include in this teaching?
a. "The medications you will be taking make your blood thicker, so you are at risk for small clots to form."
b. "It is important that you increase your fluid intake and take iron supplements so that your body can make enough blood for your heart to pump around."
c. "Your blood is rushing through your heart so fast that it may not give your heart enough oxygen and you may have something called angina, or heart pain."
d. "Because of your heart condition, the blood flow through your heart is slower and blood may tend to pool in certain areas, which might allow tiny clots to form."
ANS: D
Emboli form from the stasis of blood in the heart caused by valvular disorders and decreased cardiac output. A. Patients are often placed on blood thinners, so this is a false statement. B. Iron supplementation is provided for iron deficiency anemia, not for valvular disorders. C. Blood flow through the heart is slowed, so this is a false statement.
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