Practice Question
A nurse is reinforcing education to a client who has mitral valve stenosis that has not responded to pharmacological therapies. Which of the following statements should the nurse include in their teaching about other treatment options?
Answer Choices:
Correct Answer:
"A small catheter with a balloon on the end is threaded into a vessel in the groin and advanced to the heart where the balloon will be inflated, and the narrowed valve will be dilated. "
Rationale:
🔷This describes percutaneous balloon mitral valvotomy (PBMV), a standard intervention for symptomatic mitral stenosis that has not responded to medications.
🔷PBMV uses a transvenous catheter (typically via the femoral vein) with balloon inflation across the stenotic mitral valve to increase valve area and lower transmitral gradients.
🔷It is best suited to pliable, non-calcified valves without left atrial thrombus or significant mitral regurgitation, offering symptom relief and improved functional capacity.
🔷Compared with open surgery, PBMV is less invasive, shortens recovery time, and reduces perioperative risk in appropriate candidates.
🔷Clinical goals include reducing left atrial pressure, pulmonary congestion, and atrial arrhythmia burden, thereby improving quality of life.
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This question is from Custom Adult Hlth I Cardiovascular Test 2 which contains 59 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Adult Health
- Answer Choices: 4