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Chap 28LEVEL 1Which describes a valve used in replacement surgery that is made from the client's own heart valve? AutograftWhich type of graft is used when a heart valve replacement is made of tissue from an animal heart valve? Heterograft An adult client with a tentative diagnosis of infective endocarditis is admitted to an acute care facility. The medical history reveals diabetes mellitus, hypertension, and pernicious anemia. The client underwent an appendectomy 20 years earlier and an aortic valve replacement 2 yearsbefore this admission. What history finding is a major risk factor for infective endocarditis? Hx of aortic valve replacement In which type of cardiomyopathy does the heart muscle actually increase in size and mass weight, especially along the septum? Hypertrophic During a teaching session, a client who is having a valuloplasty tomorrow asks the nurse about the difference between a mechanical valve replacement and a tissue valve. What answer from the nurse is correct? A mechanical valve is thought to be more durable and so requires replacement less often A client with a history of cardiomyopathy experiences dyspnea on exertion, fatigue, leg swelling, and chest pain. This client has which type of cardiomyopathy? Dilated cardiomyopathy Statistics show an increase in the prevalence of infective endocarditis among older adults. Which factor places older adults at risk for developing infective endocarditis? Increased use of prosthetic valve replacements A nurse reviewing a client’s echocardiogram report reads the following statements: “The heart muscle is asymmetrically thickened and the overall size and mass are increased, especially along the septum. The ventricular walls are thickened, reducing the size of the ventricular cavities. Several areas of the myocardium show evidence of scaring.” The nurse knows these manifestations are indicative of which type of cardiomyopathy? Hypertrophic
A nurse caring for a client with cardiomyopathy determines a diagnosis of anxiety related to a fear of death. Which behavior would indicate to the nurse recognizes that the client’s level of anxiety has decreased when the client is able to discuss the prognosis freely A client with a recent history of atrial fibrillation has been prescribed warfarin. What action will the nurse take to confirm safe dosing? Reviewthe client’s international normalized ratio (INR)The nurse is teaching a client with cardiomyopathy. Which statement is a valid teaching point? The treatments include medications, medical devices, surgery, or transplantation A nurse is caring for a client with end-stage cardiomyopathy and the client's spouse asks the nurse to clarify one of the last treatment options available that the health care provider mentioned. What is considered to be one of the last treatments for end-stage cardiomyopathy? Heart transplantation A nurse is obtaining a history from a new client in the cardiovascular clinic. When investigating for childhood diseases and disorders