Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
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Chapter 24, Caring for Clients With Valvular Disorders of the Heart
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 241. | When assessing a client, what sign would you know is an early sign of an impending heart failure? |
| A) | S1 heart sound |
| B) | S3 heart sound |
| C) | Heart murmur |
| D) | Crackles |
| Ans: | B |
| Feedback: | |
| An S3 heart sound, if heard, is an early sign of impending heart failure. The S1 heart sound is normal. Heart murmur is not a sign of impending heart failure. Moist lung sounds could be indicative of either heart failure or pneumonia. |
| 2. | Your client is complaining of severe dizziness and drowsiness. Upon assessment, you find the client has bradycardia and a bluish discoloration of the palms and fingernails. What do these signs and symptoms indicate? |
| A) | Cinchonism |
| B) | Overdosage |
| C) | Hypokalemia |
| D) | Hypertension |
| Ans: | B |
| Feedback: | |
| These signs and symptoms indicate overdosage of a drug. The nurse should inform the care provider immediately if these symptoms appear. These are not the signs and symptoms of cinchonism, hypokalemia, or hypertension. |
| 3. | Your client is scheduled for a percutaneous balloon valvuloplasty. The client asks you how long it takes for the opening to close after the procedure. What would be your best response? |
| A) | Within 1 week |
| B) | Within 1 month |
| C) | Within 6 months |
| D) | Within 1 year |
| Ans: | C |
| Feedback: | |
| The opening usually closes within 6 months of a percutaneous balloon valvuloplasty. Therefore, options A, B, and D are incorrect. |
| 4. | The nurse is caring for a client with a valvular disorder of the heart. What intervention should the nurse perform before administering the prescribed beta-blockers to clients with valvular disorders of the heart? |
| A) | Monitor the prothrombin time. |
| B) | Monitor for episodes of bleeding. |
| C) | Take the client’s apical pulse. |
| D) | Monitor for bluish discoloration of the palms. |
| Ans: | C |
| Feedback: | |
| Before administering beta-blockers, the nurse should take the client’s apical pulse. If the heart rate is less than 60 beats/minute, the nurse should withhold the drug and inform the primary healthcare provider. Oral anticoagulant therapy requires close monitoring of prothrombin time or INR. The nurse should also closely monitor clients receiving oral anticoagulants for episodes of bleeding. Overdosage of beta-blockers indicates bluish discoloration of the palms. |
| 5. | The nurse is caring for a client with a valvular disorder. The client is at risk for decreased cardiac output. What nursing intervention should a nurse perform for this client? |
| A) | Perform exercises consistently. |
| B) | Keep legs horizontal. |
| C) | Auscultate lung and heart sounds. |
| D) | Measure urine output. |
| Ans: | D |
| Feedback: | |
| The nurse should monitor urine output every 8 hours or more often if it is less than 500 mL/day. Renal output reflects the heart’s ability to perfuse the renal arteries. The client should not perform any exercises and should be on bed rest. Keeping the client’s legs horizontal and auscultating lung and heart sounds will not help in this condition. |
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