When teaching a patient about the long-term consequences of rheumatic fever, the nurse should discuss the possibility of

hypertrophy of the right ventricle.

superior vena cava syndrome.

valvular heart disease.

pulmonary hypertension.

Answer and Explanation

The Correct Answer is C

A.   Hypertrophy of the right ventricle refers to the thickening of the walls of the right ventricle of the heart. Hypertrophy of the right ventricle is not a typical consequence of rheumatic fever. Instead, rheumatic fever more commonly affects the heart valves.
B.   Superior vena cava syndrome occurs when there is obstruction of the superior vena cava, which is a major vein that carries blood from the head, neck, and upper body to the heart. It is not a direct consequence of rheumatic fever.
C.   Valvular heart disease is a significant long-term consequence of rheumatic fever. Rheumatic fever can cause inflammation of the heart valves, leading to damage that may result in stenosis (narrowing) or regurgitation (leakage) of the valves. The mitral and aortic valves are most commonly affected. This damage can progress over time and lead to chronic heart problems, including valvular heart disease.
D.   Pulmonary hypertension refers to high blood pressure in the arteries of the lungs. It can be caused by various conditions, including chronic lung diseases and left heart disease. While rheumatic fever primarily affects the heart valves and can potentially lead to heart failure, it is not a direct cause of pulmonary hypertension.

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Correct Answer is C

Explanation

A. Occasional hiccups are not a common side effect of having a pacemaker. However, some patients may experience hiccups if the pacemaker’s lead irritates the diaphragm or other nearby structures. While hiccups are not a primary concern, they are not a standard expectation for all patients.
B. There is no need to disconnect a garage door opener due to having a pacemaker. Modern pacemakers are designed to be shielded from interference caused by common household electronic devices. The statement indicates a misunderstanding of the precautions necessary for managing a pacemaker.
C. This statement indicates a correct understanding of pacemaker care. It is important for patients with pacemakers to inform airport security screeners about their device before going through metal detectors or body scanners.
D. Regular monitoring of the pulse is important for patients with pacemakers, but taking the pulse every 3-4 days may not be necessary unless specifically advised by the healthcare provider. Typically, patients are instructed to monitor their pulse more frequently if they experience symptoms such as dizziness, fainting, or irregular heartbeats.

A. Patient is male and is 28 years old B. Patient has Marfan's syndrome C. Patient has hypertension and is prescribed a beta-adrenergic blocking agent D. Patient expresses concern about dying

Correct Answer is B

Explanation

A. A 4 cm aneurysm in a young patient, especially one as young as 28 years old, would typically be monitored more closely rather than immediately undergoing surgery. Surgical intervention is more commonly considered for larger aneurysms or in cases where there are other risk factors or symptoms present.
B. Marfan's syndrome is a genetic disorder that affects connective tissue and is associated with a higher risk of developing aortic aneurysms, including abdominal aortic aneurysms. Patients with Marfan's syndrome are at a greater risk of aneurysm growth and rupture due to the weakened connective tissue.
C. Hypertension is a significant risk factor for the growth and rupture of an AAA. While managing hypertension with beta-blockers is important in controlling the risk, the presence of hypertension alone does not necessarily indicate that surgical intervention is immediately necessary

D. While patient concerns and anxiety about their condition are valid and important, expressing concern about dying does not directly determine the need for surgical intervention. Surgical decisions are based on objective clinical criteria, such as the size of the aneurysm, growth rate, symptoms, and overall health of the patient.

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When teaching a patient about the long-term consequences of rheumatic fever, the nurse should discuss the possibility of

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is completing discharge teaching with a client who has a permanent pacemaker. Which of the following statements by the client indicates understanding of the teaching?

Correct Answer is C

Explanation

A patient has been diagnosed with a 4cm abdominal aortic aneurysm. Which of the following conditions would indicate surgical intervention may be necessary?

Correct Answer is B

Explanation

A 67-year-old patient will be undergoing a mitral valve replacement for severe mitral valve stenosis. When reviewing the patient's chart, which of these infectious diseases would likely to be present in this patient's history?

A nurse is providing education to a client who has a newly diagnosed abdominal aortic aneurysm (AAA). Which of the following statements should the nurse include in the teaching?

A nurse is caring for a client who has infective endocarditis. Which of the following manifestations is the priority for the nurse to monitor for?

After receiving shift change report, which of the following patients should the nurse see first?

The nurse is obtaining a health history from a 24-year-old patient with hypertrophic cardiomyopathy. Which information obtained by the nurse is most important in planning care?

The nurse is caring for a patient diagnosed with pericarditis. What serious complication should this patient be monitored for?

Which of the following are risk factors for abdominal aortic aneurysm (AAA)? (Select all that apply.)

The nurse obtains a health history from an older adult with a prosthetic mitral valve who has symptoms of infective endocarditis (IE). Which question by the nurse helps identify a risk factor for IE?