A client, recovering from surgery to replace a calcified aortic ...

[mspears3]

A client, recovering from surgery to replace a calcified aortic valve with a mechanical valve, should be instructed that which of the following medications will be needed long term?
 
  1. ACE inhibitor
  2. Beta-blocker
  3. Antibiotic
  4. Anticoagulant

Question 2

A client tells the nurse that the surgeon has provided the client with a choice of several hospitals in which to have a surgical procedure performed, but the client does not know which one to choose.
 
  Which of the following can the nurse instruct the client to consider when choosing a hospital or surgical center? (Select all that apply.)
  1. Does the facility have a national reputation?
  2. Is there an ICU in the hospital?
  3. Is it close to family?
  4. Will insurance pay for the stay?
  5. Does the hospital have magnet status?
  6. Does it have good food?

[sabina576]

Answer to Question 1

4
The mechanical valve requires long-term anticoagulation therapy to prevent the risk of thromboembolism. ACE inhibitors, beta-blockers, and antibiotics are not indicated as long-term therapy for this surgery.

Answer to Question 2

1, 2, 4, 5
The client should consider the facility's reputation, the presence of an intensive care unit, if the facility accepts the client's health insurance coverage, and if the facility has magnet status. Proximity to family and the food served are not good reasons to choose a place to have surgery.