Following several months of increasing dyspnea on exertion, a ...

[asan beg]

Following several months of increasing dyspnea on exertion, a 71-year-old woman has been diagnosed with mitral stenosis (MS).
 
  The woman is relieved to receive a diagnosis that explains her symptoms but does not completely understand the root of her problem. How can the nurse best explain the woman's health problem?
  A) The valve in the left side of your heart has become stiff and narrowed, so your heart can't fill with all the blood that your body needs.
  B) The left side of your heart is having trouble overcoming the resistance in your blood vessels because a valve is not sealing.
  C) When your heart beats, some of the blood that should go to your body is backing up into your heart because the valve leaks.
  D) The valve between your lungs and your heart has become inelastic, so your heart can't fill up with enough blood.

Question 2

A patient who has malignant cancer secondary to a high-grade lymphoma has been admitted with muscle weakness, tetany, paresthesias, and convulsion.
 
  The nurse notices he is being treated for tumor lysis syndrome (TLS) and initial treatment has not been successful. The nurse must prepare the family for the next step in treatment, which is a. whole blood transfusion.
  b. a bone marrow biopsy.
  c. immediate radiation treatment.
  d. dialysis.

[Animal_Goddess]

Answer to Question 1

A

Answer to Question 2

D
A nursing intervention for TLS is to prepare the patient and family for dialysis if other measures are not effective.