Cardiac Question #22

Question

The nurse is caring for a young adult client following a balloon valvuloplasty of the aortic valve. During the post procedure assessment, the nurse monitors for which complications related to valvuloplasty.? (Select all that apply)

Answers

  1. Sudden cardiac arrhythmia
    • Rationale:
  2. Emboli
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  3. Sudden mental status changes
    • Rationale:
  4. Redness near the radial vein access site
    • Rationale:

Overview

Explanation

Complication of sudden cardiac arrhythmia such as atrial fibrillation and heart block are risk factors along with emboli from invasive vascular access and coagulation that may require anticoagulants postoperatively. Sudden mental status changes such as delirium may occur following post procedure which may result from nigher microembolic load, neuroinflammation in the brain, cerebral hypoperfusion, and alteration of cerebral acetylcholine levels. Nursing actions should include frequent reorientation strategies and neuro assessments immediate post-operatively. Redness near the venous access site is incorrect since the access is arterial not venous. The most common site is femoral artery.

Learning Outcomes

Test Taking Tip

Video Rationale