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. This is important because AFib can lead to blood clots, which may cause bruising or other skin changes.
B. Missing doses of medication can increase the risk of complications in atrial fibrillation.
C. Hypothyroidism is not directly related to AFib. Therefore, this information is not relevant for AFib education.
D. Hypertension is a risk factor for atrial fibrillation.
Correct Answer is D
Explanation
Rationale:
A. Reducing blood pressure until the patient is asymptomatic is not specific and may not be achievable or safe.
B. Reducing the blood pressure to normal over a period of hours may be too slow for a hypertensive emergency.
C. Reducing blood pressure to normal over a period of days is too slow for a hypertensive emergency.
D. The goal in a hypertensive emergency is to reduce blood pressure by 25% to 30% within the first hour, with the ultimate goal of a reduction of 50% in the first hour.
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