Try Naxlex NCLEX-RN (Free-Trial)

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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Intracranial pressure (ICP) is now 15: Mannitol is an osmotic diuretic used to reduce intracranial pressure (ICP). The intended effect of the medication is to lower ICP. A decrease in ICP to 15 mmHg is within the normal range and indicates the medication has worked effectively.

B. The patient voids 250 mL over 2 hours is incorrect. While mannitol promotes diuresis, the amount of urine output alone does not directly indicate a reduction in ICP. The goal is to lower ICP, which is best assessed by measuring the ICP itself.

C. The patient's pupils are dilated and sluggish is incorrect. Dilated and sluggish pupils can be a sign of increased ICP, not a response to effective treatment.

D. Seizure behavior is absent is incorrect. While mannitol can help reduce ICP and potentially prevent seizures, the absence of seizure behavior is not a direct indicator of the medication's effect on ICP.

A. Decreased peripheral pulses B. S3 heart murmur C. Distended neck veins D. Orthopnea

Correct Answer is C

Explanation

A. Decreased peripheral pulses. Decreased pulses may be related to poor perfusion but are not a hallmark sign of right-sided heart failure.

B. S3 heart murmur. An S3 heart murmur is associated with left-sided heart failure due to fluid overload in the lungs.

C. Distended neck veins: Right-sided heart failure leads to the backup of blood in the systemic circulation, which often causes jugular vein distention (JVD), peripheral edema, and hepatomegaly.

D. Orthopnea. Orthopnea is a symptom of left-sided heart failure, where fluid builds up in the lungs, making it difficult to breathe when lying flat.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

The health care provider prescribes IV mannitol for a client with an intracranial pressure (ICP) of 22. How will the nurse determine that the medication had the intended effect?

Correct Answer is A

Explanation

The nurse is assessing a client with decompensated heart failure. Which finding would indicate that the client is manifesting right-sided heart failure?

Correct Answer is C

Explanation

The nurse has received a change-of-shift report on the following clients. Which client should the nurse see first?

The nurse is caring for a client who was admitted 24 hours ago with a traumatic brain injury. Which medications would the nurse anticipate being prescribed to reduce cerebral edema and prevent a secondary brain injury? Select All That Apply

A client has been admitted with a head injury from a motor vehicle accident. Vital signs on admission were BP 120/80 mm Hg and pulse 88. Which vital signs would indicate that Cushing's triad was occurring?

The nurse is assessing a client with a head injury Which finding would indicate that the client is developing diabetes insipidus?

The nurse is caring for a client who is terminally and approaching the end of life. Which goal would the nurse identify as the priority?

The nurse is assessing a client with Paget's disease. Which finding would the nurse identify as being characteristic of this disease?

The client arrives to the emergency department with syncope. After placing the telemetry monitor on the client, the nurse sees this rhythm. How should the nurse interpret this rhythm?

The nurse is caring for a client on a telemetry unit. The client's cardiac monitor exhibits the rhythm below. How should the nurse document this rhythm?

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