The nurse is caring for a client who is scheduled to undergo mechanical valve replacement. Client education should include which of the following?

Use of client-controlled analgesia

Long-term anticoagulant therapy

Use of IV diuretics

Steroid therapy

Answer and Explanation

The Correct Answer is B

A. While client-controlled analgesia (PCA) may be used postoperatively, it is not a unique or essential teaching point for valve replacement.
B. Mechanical valves are thrombogenic, requiring lifelong anticoagulation (typically with warfarin) to prevent clot formation.
C. IV diuretics may be used in cases of fluid overload but are not part of standard education for valve replacement.
D. Steroid therapy is not indicated unless the client has a concurrent condition requiring it (e.g., autoimmune disease).

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Correct Answer is B

Explanation

A. Radiofrequency catheter ablation is a long-term treatment option for recurrent VT but is not used during an acute episode.
B. If the client is experiencing VT and has a pulse, synchronized cardioversion is the appropriate treatment to restore normal rhythm.
C. CPR is indicated only if the client becomes pulseless and unresponsive, indicating cardiac arrest.
D. Defibrillation is used for pulseless VT or ventricular fibrillation, not when the client is stable and has a pulse.

A. Irregular B. Slow C. Not palpable D. Bounding

Correct Answer is A

Explanation

A. Atrial fibrillation causes disorganized atrial electrical activity, leading to an irregularly irregular pulse rhythm, which is a hallmark finding.
B. The heart rate in atrial fibrillation can be fast, slow, or normal depending on ventricular response, but the defining feature is irregularity—not slowness.
C. The pulse remains palpable, though some beats may be weak or missed due to variable ventricular filling.
D. A bounding pulse is not characteristic of atrial fibrillation and is more commonly associated with conditions like fever, anemia, or hyperthyroidism.

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The nurse is caring for a client who is scheduled to undergo mechanical valve replacement. Client education should include which of the following?

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Naxlex Comprehensive Predictor Exams

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