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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. Hypothermia: Hypothermia can slow the heart rate, leading to bradycardia.
B. Calcium channel blockers medications: These medications can slow the conduction through the AV node, causing bradycardia.
C. Athletic conditioning: Athletes often have a lower resting heart rate due to increased parasympathetic tone, which can lead to sinus bradycardia.
D. Beta-blocker medications: Beta-blockers decrease heart rate by blocking the effects of adrenaline on the heart.
E. Hyperthyroidism: Hyperthyroidism usually leads to tachycardia, not bradycardia, due to increased metabolism.
Correct Answer is A
Explanation
A. First-degree heart block: A prolonged PR interval greater than 0.20 seconds, as seen in this case, indicates first-degree heart block, which is a delay in conduction at the AV node.
B. Second-degree heart block. Second-degree heart block is characterized by some PR intervals being prolonged with occasional dropped beats (non-conducted P waves).
C. Bundle branch block. Bundle branch block causes a wide QRS complex (greater than 0.12 seconds), which is not seen here.
D. Sinus arrhythmia. Sinus arrhythmia involves changes in heart rate due to respiratory cycles, not prolonged PR intervals.
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