Author Question: After teaching a client who is being discharged home after mitral valve replacement surgery, the ... (Read 77 times)

jman1234 · **on:** Jun 25, 2018

After teaching a client who is being discharged home after mitral valve replacement surgery, the nurse assesses the client's understanding. Which client statement indicates a need for additional teaching?

a. I'll be able to carry heavy loads after 6 months of rest.
b. I will have my teeth cleaned by my dentist in 2 weeks.
c. I must avoid eating foods high in vitamin K, like spinach.
d. I must use an electric razor instead of a straight razor to shave.

Question 2

A nurse cares for a client with infective endocarditis. Which infection control precautions should the nurse use?

a. Standard Precautions
b. Bleeding precautions
c. Reverse isolation
d. Contact isolation

kbennett34 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
Clients who have defective or repaired valves are at high risk for endocarditis. The client who has had valve surgery should avoid dental procedures for 6 months because of the risk for endocarditis. When undergoing a mitral valve replacement surgery, the client needs to be placed on anticoagulant therapy to prevent vegetation forming on the new valve. Clients on anticoagulant therapy should be instructed on bleeding precautions, including using an electric razor. If the client is prescribed warfarin, the client should avoid foods high in vitamin K. Clients recovering from open heart valve replacements should not carry anything heavy for 6 months while the chest incision and muscle heal.

Answer to Question 2

ANS: A
The client with infective endocarditis does not pose any specific threat of transmitting the causative organism. Standard Precautions should be used. Bleeding precautions or reverse or contact isolation is not necessary.