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nursing unit 23 questions with answers

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1. The nurse is reinforcing teaching for a patient who has had a mechanical valve replacement. What should be included regarding safety during warfarin (Coumadin) therapy? 1. Wear medial alert identification. 2. Use a ...

1. The nurse is reinforcing teaching for a patient who has had a mechanical valve replacement. What should be included regarding safety during warfarin (Coumadin) therapy? 1. Wear medial alert identification. 2. Use a straight razor when shaving. 3. Keep yearly blood test appointments. 4. Increase intake of green leafy vegetables. ANS: 1 Chapter: Chapter 23. Nursing Care of Patients With Valvular, Inflammatory, and Infectious Cardiac or Venous Disorders Objective: 3. Identify postoperative complications that can occur following any type of cardiac valve replacement. Page: 375 Heading: Nursing Diagnoses, Planning, Implementation, and Evaluation Integrated Process: Teaching/Learning Client Need: SECE—Safety and Infection Control Cognitive Level: Application (Applying) Concept: Safety Difficulty: Moderate Feedback 1 If the patient is on anticoagulants for mechanical valve replacement, medical identification should be used. 2 Avoid a straight razor to avoid cuts and bleeding. 3 Monthly blood tests are done. 4 A steady (rather than fluctuating) amount of green leafy vegetables should be eaten so that international normalized ratio (INR) values do not fluctuate due to the vitamin K found in these foods. PTS: 1 CON: Safety 2. The nurse is caring for a group of patients on the cardiac unit. Which patient is at highest risk for mitral valve prolapse? 1. A 12-year-old male 2. An 18-year-old female 3. A 25-year-old male 4. A 40-year-old female ANS: 2 Chapter: Chapter 23. Nursing Care of Patients With Valvular, Inflammatory, and Infectious Cardiac or Venous Disorders Objective: 1. Explain the pathophysiology, etiology, signs and symptoms, diagnostic tests, therapeutic measures, and nursing care for each of the valvular disorders. Page: 375 Heading: Pathophysiology and Etiology Integrated Process: Clinical Problem-Solving Process (Nursing Process) Client Need: PHYS—Reduction of Risk Potential Cognitive Level: Analysis (Analyzing) Concept: Perfusion Difficulty: Moderate

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