A nurse is assessing a patient with known mitral valve regurgitation. The nurse should expect to hear which of the following heart sounds?
Murmur
S3 and S4
Click
Friction rub
The Correct Answer is A
Rationale:
A. Mitral valve regurgitation typically presents with a murmur, which is a characteristic sound associated with the backflow of blood into the left atrium during systole.
B. S3 and S4 are not typical heart sounds and do not relate to mitral valve regurgitation.
C. A click is typically associated with mitral valve prolapse, not mitral valve regurgitation.
D. A friction rub is typically associated with pericarditis, not mitral valve regurgitation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Swelling at the insertion site and cool extremity may indicate bleeding or hematoma formation at the site.
B. Oozing blood from the insertion site is expected immediately after a cardiac catheterization.
C. The client has not voided since returning to recovery is not related to the cardiac catheterization.
D. Blood pressure reading of 110/70 and heart rate of 90 are within normal limits.
Correct Answer is C
Explanation
Rationale:
A. The client may need an annual flu vaccine, but this is not specific to infective endocarditis.
B. Updating the Covid-19 vaccination is important, but this is not specific to infective endocarditis.
C. The client will require antibiotics before dental work to prevent the spread of bacteria from the mouth to the heart.
D. Avoiding sick contacts is important for general health but is not specific to infective endocarditis.
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