A client with mitral valve prolapse (MVP) has been experiencing occasional palpitations, lightheadedness, and dizziness. The health care provider prescribes a beta blocker. What additional teaching should the nurse include for this client?

Question

A client with mitral valve prolapse (MVP) has been experiencing occasional palpitations, lightheadedness, and dizziness.  The health care provider prescribes a beta blocker.  What additional teaching should the nurse include for this client?

Quizplus · Accepted Answer

11ecbb05_c930_50cd_b433_f7c48fc735bc_MD0009_00 Clients with MVP may have palpitations, dizziness, and lightheadedness. Chest pain can occur but its etiology is unknown in this client population. It may be a result of abnormal tension on the papillary muscles. Chest pain that occurs in MVP does not typically respond to antianginal treatment such as nitrates. Beta blockers may be prescribed for palpitations and chest pain. Client teaching for MVP includes the following: Adopt healthy eating habits and avoid caffeine as it is a stimulant and may exacerbate symptoms (Option C) Check ingredients of over-the-counter medications or diet pills for stimulants such as caffeine or ephedrine as they can exacerbate symptoms Reduce stress and avoid alcohol use (Option A) Clients should be taught to begin or maintain an exercise program, preferably aerobic exercise, to achieve optimal health. (Option B) Although MVP may place the client at an increased risk for infective endocarditis, there is no clinical evidence to support the need for prophylactic antibiotics prior to dental procedures. Antibiotic prophylaxis is indicated for clients who have prosthetic valve replacement, repaired valves, or a history of infectious endocarditis. (Option D) There is no need for a medical alert bracelet. MVP is usually a benign condition. Educational objective: The nurse should teach the client with MVP to stay hydrated, avoid caffeine and alcohol, exercise regularly, reduce stress, and take beta blockers as prescribed for palpitations and chest pain. Nitrates are usually not effective for chest pain from MVP.

A Client with Mitral Valve Prolapse (MVP) Has Been Experiencing