NUR 254 Chap 28
- Regurgitation
Answer The valve does not close properly, and blood backflows through the valve.
- Stenosis
Answer the valve does not open completely, and blood flow through the valve is reduced.
- Valve prolapse
Answer The stretching of an atrioventricular valve leaflet into the atrium during diastole
- mitral stenosis
Answer left atria to hypertrophy and dilate
L atrium has difficulty moving blood because of resistance
- mitral click
Answer often the first sign of mitral valve prolapse happens during systole
- mitral stenosis s/s
Answer dyspnea on exertion
decreased exercise tolerance, low cardiac output, enlarged L atrium dry cough or wheeze, exporctant blood, orthopnea, paroxyml nocturnal dyspnea, repeated resp infections
- aortic regurgitation 1 / 2
Answer blood from aorta to L ventricle during diastole. L ventricle hypertrophy
- Nursing Management
Answer Valvular Heart Disorders
Patient education Monitor VS trends
Monitor for complications Heart failure Dysrhythmias Other symptoms
Medication schedule
education
Daily weights
monitor for weight gain Plan activity with rest periods
Sleep with HOB elevated
- Avoid alcohol.
Stop use of tobacco products.
Prophylactic antibiotics are not prescribed before dental procedures. Rationale
Answer MVP is hereditary, and caffeine should be avoided.
Answer The nurse is providing education for a client diagnosed with mitral valve prolapse (MVP). What should be included in the teaching plan? (Select all that apply.)
MVP is not hereditary.Caffeine is tolerated in small amounts. Avoid alcohol.Stop use of tobacco products.
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