The patient has recently had a mitral valve replacement. To ...

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The patient has recently had a mitral valve replacement. To prevent excess serosanguineous fluid buildup, which of the following does the nurse anticipate will be included in care?
 
  a. Increased oxygen therapy
  b. Frequent chest physiotherapy
  c. Incentive spirometry on a regularly scheduled basis
  d. Chest tube placement in the thoracic cavity

Question 2

A 79-year-old client drives his car in the local areas near his home. Which of the following is the most appropriate driving tip that the nurse can give this client?
 
  a. Go very, very slowly so you will have some chance of reacting.
  b. Take your time on long road trips when you are by yourself.
  c. Remember to keep your car maintained with regular checkups.
  d. To avoid sun glare, you should drive at night.

[mbcrismon]

Answer to Question 1

D

Feedback
A Increased oxygen will not prevent excess fluid buildup.
B Frequent chest physiotherapy may help facilitate removal of secretions but will not prevent excess fluid buildup.
C Incentive spirometry is used to promote deep breathing and to prevent or treat atelectasis in the postoperative patient. It will not prevent excess fluid buildup.
D Chest tubes are inserted to remove air and fluids from the pleural space, to prevent air or fluid from re-entering the pleural space, and to re-establish normal intrapleural and intrapulmonic pressures. The patient who has had mitral valve replacement surgery (chest surgery) would be expected to have a chest tube postoperatively to prevent excess fluid buildup in the pleural space.

Answer to Question 2

C
A safety tip the nurse can share with this client is to keep the car in good working condition.
The nurse should advise the client to go slowly, but not too slowly, for safety.
The nurse can offer this client the driving tip to drive in familiar areas, but not to take long road trips by himself.
The client should be advised to avoid driving at dusk or at night.

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Gracias!

[coreycathey]

Excellent