A client with a history of rheumatic heart disease is being ...

[serike]

A client with a history of rheumatic heart disease is being evaluated for mitral stenosis. To identify symptoms that support the diagnosis of mitral stenosis, the nurse should ask which question?
 
  1. How often do you get short of breath?
  2. Have you had a lot of headaches recently?
  3. Do you experience numbness or tingling in your extremities?
  4. Do you have to urinate often during the night?

Question 2

The nurse is providing discharge teaching to a client with cardiomyopathy. The nurse should instruct the client to:
 
  1. Avoid strenuous activity and allow time for rest periods.
  2. Take vitamin B12 supplements daily.
  3. Maintain a daily intake of vegetables high in vitamin K.
  4. Keep the lower extremities elevated whenever sitting.

[AISCAMPING]

Answer to Question 1

Answer: 1

1. Dyspnea on exertion is often an early sign of mitral stenosis.
2. Headaches are not associated with mitral stenosis.
3. Numbness and tingling of the extremities is not associated with mitral stenosis.
4. Nocturia is not associated with mitral stenosis.

Answer to Question 2

Answer: 1

1. Strenuous physical activity can precipitate dysrhythmias and/or sudden cardiac death.
2. Vitamin B12 is not recommended.
3. Vitamin K is not recommended.
4. Keeping extremities elevated helps to reduce dependent edema, but is not the highest priority to teach.