Complex Health 2 Exam Review Questions with

Complex Health 2 Exam Review Questions with 100% Verified Correct Answers A patient's history indicates a past history of rheumatic fever. The nurse plans to assess the patient for signs of which disorder? - Correct Answer Mitral stenosis The mother of a 6 year old who has a history of rheumatic fever brings the child and 3 year old sibling to the clinic because of fever and soar throat. which statement made by the nurse is appropriate in the care of the child?

• Since your child has rheumatic fever, we must treat strep throat agressively
• Because your child has already experienced rheumatic fever, no antibiotics are necessary
• At least your 3 year old is not at risk for developing rheumatic fever
• All of the damage to your child's heart valves has probably already occurred - Correct Answer A.

Since your child has rheumatic fever, we must treat strep throat agressively The nurse is developing a teaching plan for a patient diagnosed with mitral valve prolapse. Which information should be included in this plan?

• Avoid having any dental work until the valve is replaced
• Plan for rest periods through out the day
• Take your oral temperature every morning
• Keep a diary of all the high-fat foods that you eat - Correct Answer B. Plan for rest periods through

out the day A patient is scheduled for open surgical valvuloplasty of the mitral valve with thrombus removal.When preparing the patient for surgery, the nurse should indicate which information? 1 / 3

• Cardiopulmonary bypass will not be required for this procedure
• Anticoagulant therapy will not be necessary in the postoperative period
• The valve will be repaired, but not replaced
• This procedure will prevent the need for further valve surgeries - Correct Answer C. The valve will

be repaired, but not replaced A patient is diagnosed with restrictive cardiomyopathy secondary to cocaine abuse. The nurse plans nursing care recognizing treatment for this type of cardiomyopathy usually involves which procedure?

• Alcohol septal ablation
• Insertion of an implantable automatic defibullator (ICD)
• Aortic valve repair
• Supportive therapy with medication - Correct Answer D. Supportive therapy with medication

The nurse suspects a patient having frequent episodes of chest pain has pericarditis. To help confirm the suspicions, the nurse should ask which question?

• Is the pain relieved by laying flat?
• Do you only experience pain during the night?
• Does the pain worsen if you take a deep breath?
• Is the pain reduced by an episode of heart palpatations? - Correct Answer C. Does the pain worsen

if you take a deep breath? 2 / 3

The patient was admitted yesterday for treatment of pericarditis. This afternoon, the nurse notes that the patient's skin is clammy and the patient is somewhat confused. Further assessment reveals pulse rate of 120, B/P of 100/60, and jugular vein distention. What is the priority nursing action? - Correct Answer Answer: Collaborate with the patient's physician regarding the findings.A patient was admitted for treatment of myocarditis. Which statement concerning home medications by the patient is of greatest concern to the nurse? (Select all that apply.) - Correct Answer Answers: "I didn't take my digoxin this morning because I felt so bad. First dose I've missed in years." "The only pain medication I've taken lately is some ibuprofen for my knees." The nurse has established the nursing diagnoses of Fatigue and Activity Intolerance for a patient diagnosed with valvular disease. Which interventions would the nurse plan to address this nursing diagnosis? (Select all that apply.) - Correct Answer Answers: Determine which activities make the patient tired.Encourage activities such as watching television, reading, and playing card games.The patient has been started on the dihydropyridine calcium channel blocker amlodipine (Norvasc).What information is essential for the nurse to include in medication teaching for this patient? (Select all that apply.) - Correct Answer Answers: Avoid eating grapefruit or drinking grapefruit juice.Report any heart palpitations to your physician.A nurse is suspicious that the patient has "White Coat" hypertension. Which nursing intervention is indicated?

• Retake the patient's blood pressure in the opposite arm
• Have the patient rest for 5 minutes and recheck the blood pressure
• Ask the patient to measure the blood pressure at home for several days
• Measure the blood pressure in both sitting and standing positions - Correct Answer C. Ask the

patient to measure the blood pressure at home for several days

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