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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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Correct Answer is B

Explanation

A. Pelvic fracture: Pelvic fractures may cause significant pain and instability but do not typically result in a shortened, adducted, and externally rotated leg.

B. Femoral neck fracture: These findings (shortened, adducted, externally rotated leg) are classic for a femoral neck fracture due to muscle contraction and displacement of the bone.

C. Tibia fracture: Tibia fractures typically present with swelling and deformity, not shortening or rotation of the leg.

D. Fibula fracture: A fibula fracture alone rarely causes leg shortening or rotation as it is a non-weight-bearing bone.

A. Client preferences B. Home environment C. Socioeconomic status D. Family preferences

Correct Answer is A

Explanation

A. Client preferences. In hospice care, the client's preferences are the most important factor in planning care. This includes their choices for comfort, treatments, and living arrangements during the end-of-life process.

B. Home environment. While the home environment is important, the client’s wishes and preferences should take precedence in planning their care.

C. Socioeconomic status. Socioeconomic status is not as crucial as the client’s preferences and values in planning hospice care.

D. Family preferences. While family preferences may play a role, the primary focus in hospice care is the client’s wishes for their end-of-life care.

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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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Explanation

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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