A client with mitral stenosis asks the nurse to explain the ...

[javeds]

A client with mitral stenosis asks the nurse to explain the complications of the disease and what symptoms the client and family need to be aware of. The nurse should teach the family to watch for:
 
  1. Dry skin.
  2. Signs of confusion.
  3. Low hemoglobin.
  4. Memory improvement.

Question 2

A client is in the hospital for heart failure and respiratory management. During a focused assessment, the nurse notes that the client coughs frothy pink sputum. The immediate intervention by the nurse would be to:
 
  1. Place the client in a high Fowler's position.
  2. Ask the laboratory to obtain an arterial blood gas.
  3. Notify the physician.
  4. Stop the administration of oxygen.

[Tonny]

Answer to Question 1

Answer: 2

1. Mitral stenosis does not cause dry skin.
2. One complication of mitral stenosis is an embolism to the brain. The nurse should teach the family to watch for confusion or other neurological signs and to call the physician immediately.
3. The family cannot monitor hemoglobin.
4. If there are neurologic changes, the expectation would be confusion and memory loss.

Answer to Question 2

Answer: 3

1. The client with right-sided failure should already be in the high Fowler's position.
2. The nurse requests a blood gas after the physician examines the client.
3. The physician should be notified immediately, as the sputum indicates the client is accumulating fluid in the lungs.
4. If the client is on oxygen, the nurse does not stop it.