The nurse is discharging a client home following mitral valve replacement. What statement indicates that the client requires further education?
a. "I will be able to carry heavy loads after 6 months of rest."
b. "I will have my teeth cleaned by the dent-ist in 2 weeks."
c. "I will avoid eating foods high in vitamin K, like spinach."
d. "I will use an electric razor instead of a straight razor to shave."
B
Clients who have defective or repaired valves are at high risk for endocarditis. The client who has had valve surgery should avoid dental procedures for 6 months because of the risk for endo-carditis. When undergoing any invasive procedure, the client needs to be placed on prophylactic antibiotics.
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A client is returning from the operating room with cervical tongs and a halo vest for a cervical spine injury. The nurse plans to promote respiratory function and skin integrity by:
1. turning the client every 4 hours. 2. getting an order for a kinetic bed. 3. turning the client using the halo ring. 4. Inspecting the pins for looseness.
____________________ is a potentially life-threatening complication of spinal cord injury above the mid-thoracic area.
Fill in the blank(s) with the appropriate word(s).
A patient has developed an acute loss of hearing and is diagnosed with a conversion dis-order. Which nursing diagnosis would be most appropriate?
a. Hearing impairment b. Panic-level anxiety c. Disturbed sensory perception d. Denial due to a medical condition
A primary care NP sees a 60-year-old woman for a physical examination. The woman tells the NP she is taking tamoxifen for treatment of breast cancer. To monitor her response to this medication, the NP should order:
a. a chest radiograph. b. bone mineral density testing. c. serum bilirubin and creatinine. d. liver enzymes and a complete blood count (CBC).