A nurse in a provider's office is assessing a client who reports occasional atypical chest pain, palpitations, and exercise intolerance. On auscultation, the nurse notes a systolic click. The nurse should recognize this finding as a manifestation of which of the following conditions?

Aortic regurgitation,

Mitral stenosis

Aortic stenosis

Mitral valve prolapse

Answer and Explanation

The Correct Answer is D

A. Aortic regurgitation: Aortic regurgitation typically presents with a diastolic murmur, not a systolic click.

B. Mitral stenosis: Mitral stenosis presents with a diastolic murmur, often associated with an opening snap, rather than a systolic click.

C. Aortic stenosis: Aortic stenosis typically presents with a systolic ejection murmur, but not a systolic click.

D. Mitral valve prolapse: This is the correct answer. Mitral valve prolapse (MVP) is characterized by the displacement of the mitral valve leaflets into the left atrium during systole, often producing a systolic click. Symptoms associated with MVP can include atypical chest pain, palpitations, and exercise intolerance.

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Correct Answer is B

Explanation

A. Maintaining a semi-Fowler's position as often as possible: While maintaining an elevated position can assist with breathing, it may not directly address the issue of tenacious bronchial secretions. Adequate hydration and other measures are often more effective.

B. Encouraging the client to drink 2 to 3 L of water daily: This is the correct answer. Adequate hydration helps to thin mucus, making it easier to clear from the airways. Drinking 2 to 3 liters of water daily is a helpful strategy to promote hydration and reduce the viscosity of bronchial secretions.

C. Helping the client select a low-salt diet: While a low-salt diet may have cardiovascular benefits, it is not a primary intervention for addressing tenacious bronchial secretions. Hydration and airway clearance techniques are more directly relevant.

D. Administering oxygen via nasal cannula at 2 L/min: While oxygen therapy may be necessary in COPD, it is not the primary intervention for managing tenacious bronchial secretions. Hydration and other measures aimed at thinning mucus are more appropriate.

A. Apply pressure to the nares. B. Tilt the client's head backward C. Place ice to the bridge of the client's nose. D. Move the client into high-Fowler's position. E. Instruct the client to blow his nose.

Correct Answer is ["A","C","D"]

Explanation

A. Apply pressure to the nares:

Applying gentle pressure to the nares can help control bleeding.

B. Tilt the client's head backward:

Tilt the head forward slightly to prevent blood from flowing down the back of the throat and to avoid swallowing blood.

C. Place ice to the bridge of the client's nose:

Cold packs can help constrict blood vessels and reduce bleeding.

D. Move the client into high-Fowler's position:

Sitting the client upright in a high-Fowler's position can minimize blood flow to the head and reduce bleeding.

E. Instruct the client to blow his nose:

Blowing the nose may disrupt clots and increase bleeding.

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A nurse in a provider's office is assessing a client who reports occasional atypical chest pain, palpitations, and exercise intolerance. On auscultation, the nurse notes a systolic click. The nurse should recognize this finding as a manifestation of which of the following conditions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

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Correct Answer is ["A","C","D"]

Explanation

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