A nurse is reinforcing teaching with a client who has mitral valve disease. Which of following statements

by the client indicates an understanding of the disease process?

A. "I should call my doctor if I get a headache."

B. "I might develop gastric reflux."

C. "I might develop excessive bruising."

D. "I should call my doctor if my ankles swell."

RATIONALE: Swelling of the ankles can indicate heart failure. The client should report this finding to the

provider. A provider might prescribe anticoagulants to prevent thrombus formation on the valve, which

can cause excessive bruising for a client who has mitral valve disease. However, excessive bruising is not

a direct result of the disease.

A nurse is reinforcing teaching about joint protection with a client who has an acute exacerbation of

rheumatoid arthritis. Which of the following information should the nurse include in the teaching?

A. Apply cold packs to the inflamed joints.

B. Participate in high-impact exercise.

C. Carry a hand purse rather than a shoulder bag.

D. Sleep on a soft foam mattress.

RATIONALE: The nurse should instruct the client to use both warm and cold packs on inflamed

joints todecrease pain.

A nurse is collecting data from who has hypothyroidism. Which of the following manifestations should

the nurse anticipate?

A. Blurred vision

B. Insomnia

C. Bradycardia

D. Weight loss

RATIONALE: The nurse should identify that bradycardia is a manifestation of hypothyroidism that is

caused by adecrease in the client's metabolic rate.