The nurse caring for a client who is scheduled for a balloon valvuloplasty recalls that balloon valvuloplasty is most commonly used for which valvular heart disease?
Mitral valve prolapse
Aortic regurgitation
Mitral regurgitation
Mitral stenosis
The Correct Answer is D
A. Mitral valve prolapse often requires no treatment or is managed with medications; balloon valvuloplasty is not typically used.
B. Aortic regurgitation usually requires surgical valve replacement rather than valvuloplasty.
C. Mitral regurgitation involves backward blood flow and is generally treated with valve repair or replacement, not balloon valvuloplasty.
D. Mitral stenosis is most commonly treated with balloon valvuloplasty, especially in clients with rheumatic heart disease. This procedure helps open a narrowed mitral valve by inflating a balloon within the valve to improve blood flow.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Taking a diuretic before sleep can lead to nocturia (frequent urination at night), disrupting sleep. Also, fluid intake may need to be restricted, not encouraged.
B. Clients with heart failure are usually advised to limit sodium to 2 grams or less per day, not 4 grams, to help reduce fluid retention.
C. Naproxen (a NSAID) is not recommended for clients with heart failure as it can cause fluid retention and worsen the condition.
D. Slowing down when tired after exercise shows an understanding of energy conservation and pacing—appropriate for managing heart failure symptoms. This indicates that teaching was effective.
Correct Answer is D
Explanation
A. Monitor blood pressure – While important, blood pressure changes are not the most sensitive or early indicator of fluid retention in heart failure.
B. Assess radial pulses – Pulse assessment can reflect cardiac output, but it does not directly indicate fluid balance.
C. Monitor bowel movements – Bowel function is not typically affected by fluid balance in heart failure and is not a relevant measure.
D. Monitor weight daily – Daily weight monitoring is the most accurate and early indicator of fluid retention in clients with heart failure. A weight gain of 2–3 pounds in a day or 5 pounds in a week may indicate fluid overload and should be reported to the healthcare provider.
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