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

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is ["A","B","C","D","E","F"]

Explanation

Rationale:

A. Distribution refers to the area of the body where the pain is felt.

B. Onset refers to when the pain started.

C. Intensity refers to the severity of the pain.

D. Location refers to where the pain is felt.

E. Radiation refers to whether the pain spreads to other areas.

F. Alleviated refers to what makes the pain better or worse.

A. Notify the provider of the client's allergy. B. Notify the dietary department of the client's allergy. C. Ask the client if any other foods cause such a reaction. D. Attach a wrist band indicating the client's allergy

Correct Answer is A

Explanation

Rationale:

A. Notifying the provider of the client's allergy is the priority to ensure that appropriate precautions are taken during the cardiac catheterization.

B. Notifying the dietary department is not necessary in this situation.

C. Asking about other foods is important but not the priority at this time.

D. Attaching a wristband indicating the allergy may be done later but is not the priority at this time.

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A nurse is assessing a patient with known mitral valve regurgitation. The nurse should expect to hear which of the following heart sounds?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is having an acute myocardial infarction (MI). The nurse is aware that which of the following are part of the assessment of cardiac pain. (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","C","D","E","F"]

Explanation

The nurse asks a client who is about to have a cardiac catheterization about any allergies. The client states, "I always get a rash when I eat shellfish." Which of the following is the priority nursing action?

Correct Answer is A

Explanation

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