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A mitral insufficiency/regurgitation murmur is classified as:

Flat murmur

Diastolic murmur

Absent murmur

Systolic murmur

Answer and Explanation

The Correct Answer is D

A. A flat murmur does not accurately describe the type of murmur associated with mitral insufficiency.

B. Mitral insufficiency is typically classified as a systolic murmur, not diastolic.

C. An absent murmur would indicate no audible sound, which is not applicable here.

D. Mitral insufficiency or regurgitation is characterized by a systolic murmur due to the backflow of blood from the left ventricle into the left atrium during systole.

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Correct Answer is A

Explanation

Rationale:
A. Second or third intercostal space at the left sternal border: Erb's point is located here, and it's a key area for listening to heart sounds, particularly the aortic and pulmonic valves.

B. The second intercostal space at the right sternal border: This area is typically used to auscultate the aortic valve.

C. Fifth intercostal space near the left midclavicular line: This area is used to auscultate the mitral valve, not Erb's point.

D. Third intercostal space at the left sternal border: This is the location for listening to the pulmonic valve, not Erb's point.

A. Perform abdominal percussion, and then repeat auscultation. B. Palpate the client's abdomen to stimulate bowel motility. C. Repeat auscultation in four to six hours. D. Listen for five minutes before documenting an absence of bowel sounds.

Correct Answer is D

Explanation

A. Perform abdominal percussion, and then repeat auscultation: While percussion can provide additional information, the absence of bowel sounds should first be confirmed by listening for a longer period before moving to other techniques.

B. Palpate the client's abdomen to stimulate bowel motility: Palpation is not recommended to stimulate bowel sounds; it may alter the assessment.

C. Repeat auscultation in four to six hours: Immediate reassessment after five minutes of auscultation is preferable to prolonged waiting.

D. Listen for five minutes before documenting an absence of bowel sounds: To ensure accurate assessment, the nurse should listen for up to five minutes in each quadrant

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A mitral insufficiency/regurgitation murmur is classified as:

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Naxlex Comprehensive Predictor Exams

The traditional areas of auscultation of heart sounds include Erb's point, which is located at?

Correct Answer is A

Explanation

The nurse is auscultating a client's abdomen and is unable to discern any bowel sounds. How should the nurse proceed with assessment?

Correct Answer is D

Explanation

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