Following valve replacement surgery, the client is taught that if fever, increased heart rate, fatigue, malaise, anorexia, weight loss, headache, chills, and/or night sweats occur, the client needs to notify the health care provider, as this is as a
sign of: 1. Infective endocarditis.
2. Myocardial infarction.
3. Valve rejection.
4. Heart failure.
Infective endocarditis.
Rationale: The clinical manifestations are a sign of postoperative infective endocarditis, which needs immediate medical attention. Myocardial infarction is typically manifested with angina, ECG changes, and an increase in cardiac laboratory tests. Replacement valves are not vascular; therefore rejection does not occur. Heart failure is manifested with lung congestion and shortness of breath.
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