A 68-year-old woman is scheduled to undergo mitral valve replacement for severe mitral stenosis and mitral regurgitation. Although the diagnosis was made during childhood, she did not have any symptoms until 4 years ago. Recently, she noticed increased symptoms, despite daily doses of digoxin and furosemide. During the initial interview with the nice lady, the nurse would most likely learn that the client's childhood health history included:
a. Chicken pox
b. poliomyelitis
c. Rheumatic fever
d. meningitis
Ans: c. Rheumatic fever
Most clients with mitral stenosis have a history of rheumatic fever or bacterial endocarditis.
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The nurse monitors for which clinical indicator when the older adult complains of pruritus?
a. Coarse skin c. Brownish skin b. Brown macule d. Regional edema
Which of the following assumptions underlies the Declaration of Alma-Ata?
a. Communities should be encouraged to cooperate with national health goals. b. Gross inequalities and disparities will always exist. c. Health is a fundamental human right. d. Public health agencies are responsible to plan and take action to improve health.
What is the likely cause in J.R’s neurologic status ?
a. Increased peri-cranial pressure from infection. b. Increased para-cranial pressure from spinal fluid. c. Increased intracranial pressure from bleeding. d. None of the above.
A client has been prescribed naltrexone (Trexan) for treatment of alcohol dependence. The nurse has explained the drug's purpose to the client. The nurse determines that the client has understood the instructions when the client says that Trexan:
A) Causes itching if alcohol is consumed. B) Produces the euphoria of alcohol. C) Reduces the appeal of alcohol. D) Improves the client's appetite and nutritional status.