When caring for a patient with mitral valve stenosis, it is most ...

[Shelles]

When caring for a patient with mitral valve stenosis, it is most important that the nurse assess for
 
  a. diastolic murmur.
  b. peripheral edema.
  c. shortness of breath on exertion.
  d. right upper quadrant tenderness.

Question 2

When developing a community health program to decrease the incidence of rheumatic fever, which action would be most important for the community health nurse to include?
 
  a. Vaccinate high-risk groups in the community with streptococcal vaccine.
  b. Teach community members to seek treatment for streptococcal pharyngitis.
  c. Teach about the importance of monitoring temperature when sore throats occur.
  d. Teach about prophylactic antibiotics to those with a family history of rheumatic fever.

[zacnyjessica]

Answer to Question 1

ANS: C
The pressure gradient changes in mitral stenosis lead to fluid backup into the lungs, resulting in hypoxemia and dyspnea. The other findings also may be associated with mitral valve disease but are not indicators of possible hypoxemia.

Answer to Question 2

ANS: B
The incidence of rheumatic fever is decreased by treatment of streptococcal infections with antibiotics. Family history is not a risk factor for rheumatic fever. There is no immunization that is effective in decreasing the incidence of rheumatic fever. Teaching about monitoring temperature will not decrease the incidence of rheumatic fever.