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The nurse is educating a client diagnosed with mitral valve prolapse. What education will the nurse need to provide the client about this diagnosis?
Possible Education

Client should increase potassium-rich foods in the diet

Family members of the client should have a cardiac screening

Client should notify the provider if palpitations develop

Female clients should use measures to prevent pregnancy

Client should use caution when taking over-the-counter (OTC) medications

Client should avoid extremely hot or cold environments

Client should be encouraged to quit smoking

Client requires prophylactic antibiotics before dental procedures

Client should avoid high amounts of caffeine and alcohol

Answer and Explanation

Correct Answer : C,E,G,I

A. Client should increase potassium-rich foods in the diet: Not applicable, as mitral valve prolapse (MVP) is not related to potassium levels.

B. Family members of the client should have a cardiac screening: This is unnecessary unless there is a strong family history of connective tissue disorders associated with MVP.

C. Client should notify the provider if palpitations develop: Palpitations can indicate arrhythmias, which are a possible complication of MVP.

D. Female clients should use measures to prevent pregnancy: Pregnancy is generally not contraindicated in MVP unless there is significant valve regurgitation.

E. Client should use caution when taking OTC medications: Stimulants in OTC drugs, like decongestants, can exacerbate palpitations.

F. Client should avoid extremely hot or cold environments: This is not typically required for MVP.

G. Client should be encouraged to quit smoking: Smoking can exacerbate cardiovascular risks associated with MVP.

H. Client requires prophylactic antibiotics before dental procedures: Not recommended unless there is a history of endocarditis or significant valve regurgitation.

I. Client should avoid high amounts of caffeine and alcohol: Both can exacerbate symptoms like palpitations and arrhythmias.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Remind the client to look for food on the left side of the tray: Homonymous hemianopsia is a condition in which a person loses vision in the same half of the visual field of each eye (in this case, the left visual field due to right-sided brain damage). The nurse should remind the client to look for food on the left side of the tray to help compensate for the visual deficit.

B. Provide a non-skid mat to alleviate plate movement. While a non-skid mat can help with plate stability, it does not address the visual field loss caused by homonymous hemianopsia.

C. Encourage the client to use his right hand when feeding himself. There is no specific benefit to using the right hand when a client is experiencing a visual deficit in the left visual field. Instead, compensating for the visual field loss is the priority.

D. Encourage the use of the wide grip utensils. Wide grip utensils are helpful for clients with limited hand mobility but will not address the specific visual impairment caused by homonymous hemianopsia.

A. Start CPR B. Prepare for radiofrequency catheter ablation C. Prepare for defibrillation D. Prepare for cardioversion

Correct Answer is D

Explanation

A. Start CPR: CPR is indicated if the client is unresponsive and pulseless, which is not the case here as the client is alert.

B. Prepare for radiofrequency catheter ablation: This is a long-term treatment for recurrent VT but not appropriate for acute management.

C. Prepare for defibrillation: Defibrillation is used for pulseless VT or ventricular fibrillation, not for a stable VT with a pulse.

D. Prepare for cardioversion: Synchronized cardioversion is the appropriate intervention for a stable VT with a pulse to restore normal rhythm.

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The nurse is educating a client diagnosed with mitral valve prolapse. What education will the nurse need to provide the client about this diagnosis? Possible Education

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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The nurse is educating a client diagnosed with mitral valve prolapse. What education will the nurse need to provide the client about this diagnosis?
Possible Education