A nurse is contributing to the plan of care for a client who is 24 hr postoperative following an aortic valve replacement with a biologic valve. Which of the following interventions should the nurse include in the plan?
Apply a cooling blanket
Monitor daily weight
Provide opioid medications on an as needed basis
PTT levels
The Correct Answer is B
A. A cooling blanket is not typically needed unless there is a fever or postoperative temperature dysregulation, which is not a standard intervention in this case.
B. Monitoring daily weight is essential following valve replacement to detect fluid retention or heart failure, which can indicate compromised cardiac function.
C. Opioid medications may be necessary, but they should be prescribed according to the client’s pain needs rather than a routine intervention.
D. PTT levels are usually monitored for clients on anticoagulants, but since the client has a biologic valve, anticoagulation therapy is not always required as with mechanical valves.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Dyspnea can indicate heart failure or embolic events resulting from infective endocarditis, making it a serious complication that warrants attention.
B. Fever is a common symptom of infective endocarditis due to the infection but is not a complication; rather, it is part of the disease process.
C. Petechiae are small red or purple spots that can occur with infective endocarditis but are also not considered a complication, rather a manifestation of the condition.
D. A heart murmur may be present due to valvular damage but is not classified as a complication; it is a common finding in infective endocarditis.
Correct Answer is B
Explanation
A. A sedentary lifestyle is a risk factor for various cardiovascular diseases but is not specifically associated with pericarditis.
B. A recent flu-like illness can increase the risk of viral infections, which are common causes of pericarditis, making it an important risk factor to mention.
C. Thyroid disease can influence cardiovascular health but is not a direct risk factor for developing pericarditis.
D. While a family history may indicate a predisposition to some heart diseases, there is no strong association with pericarditis specifically.
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