In caring for a client considering mechanical mitral valve replacement, the essential determination for the nurse (and physician) to make would be whether the client can or will
a. comply with the lifelong requirement for anticoagulant therapy.
b. cooperate fully and participate in a cardiac rehabilitation program.
c. experience body image problems from the sternal scar.
d. require a high level of physical energy at work.
A
Clients with mechanical valves require continuous anticoagulation therapy for the remainder of their lives. A client who cannot tolerate or cooperate with this regimen might be considered for a tissue valve.
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The nurse is caring for a patient recovering from general anesthesia for repair of a cardiac valve. When the patient arrives from the operating room, what nursing assessment is most important?
A) Cardiac monitor pattern B) Wound site assessment C) Airway security D) Patient position
The nurse is caring for a patient who has a history of heart disease. What factor should the nurse identify as possibly contributing to a decrease in cardiac output?
A) A change in position from standing to sitting B) A heart rate of 54 bpm C) A pulse oximetry reading of 94% D) An increase in preload related to ambulation
The term __________ is used to describe an immune response that is waged against transplanted organs and tissues that carry nonself antigens
Fill in the blank(s) with correct word
Which abnormality of the penis does this patient most likely have?
A 20-year-old part-time college student comes to your clinic, complaining of growths on his penile shaft. They have been there for about 6 weeks and haven't gone away. In fact, he thinks there may be more now. He denies any pain with intercourse or urination. He has had three former partners and has been with his current girlfriend for 6 months. He says that because she is on the pill they don't use condoms. He denies any fever, weight loss, or night sweats. His past medical history is unremarkable. In addition to college, he works part-time for his father in construction. He is engaged to be married and has no children. His father is healthy and his mother has hypothyroidism. On examination the young man appears healthy. His vital signs are unremarkable. On visualization of his penis you see several moist papules along all sides of his penile shaft and even two on the corona. He has been circumcised. On palpation of his inguinal region there is no inguinal lymphadenopathy. A) Condylomata acuminata B) Genital herpes C) Syphilitic chancre D) Penile carcinoma