The nurse is assessing a client with aortic stenosis. Which finding in the client's history would the nurse identify as the most common cause of this condition?

Congenital valve abnormalities

Rheumatic fever

Autoimmune deficiency syndrome

Degenerative calcification of valve

Answer and Explanation

The Correct Answer is B

A. Congenital valve abnormalities: Although congenital heart defects can cause aortic stenosis, rheumatic fever is a more common cause in adults.

B. Rheumatic fever: Rheumatic fever is the most common cause of aortic stenosis in adults, as it can lead to scarring and narrowing of the aortic valve.

C. Autoimmune deficiency syndrome: This is not associated with aortic stenosis.

D. Degenerative calcification of valve: This is a common cause of aortic stenosis in older adults, but it is generally less common than rheumatic fever as the primary cause in a younger or middle-aged population.

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Correct Answer is C

Explanation

A. Thrombotic stroke. A thrombotic stroke develops more gradually and is not typically associated with such sudden and severe symptoms.

B. Embolic stroke. An embolic stroke is often associated with a known embolic source, such as a clot from the heart, and can present more suddenly, but without all the symptoms seen here.

C. Hemorrhagic stroke: Hemorrhagic strokes often present with a sudden, severe headache, vomiting, seizure activity, and high blood pressure. A fever may also develop due to increased intracranial pressure.

D. Transient ischemic attack (TIA). TIAs are brief and resolve within minutes to hours and do not typically cause seizures.

A. Compartment syndrome B. Hemorrhage C. Deep vein thrombosis D. Complex regional pain syndrome E. Fat embolism

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

Explanation

A. Compartment syndrome: This is a serious complication that can occur with fractures, including femur fractures. It occurs when increased pressure in the muscle compartment impairs circulation and nerve function.

B. Hemorrhage: Fractures, particularly of long bones like the femur, can result in significant bleeding. Monitoring for hemorrhage is important.

C. Deep vein thrombosis (DVT): DVT is a common complication in clients with fractures and immobilization. The client is at risk for blood clots forming in the legs due to limited movement and prolonged bed rest.

D. Complex regional pain syndrome: While this can occur after fractures, it is less common and typically develops weeks to months after the injury.

E. Fat embolism: A fat embolism is a potential complication of long bone fractures, especially the femur. Fat globules can enter the bloodstream and cause respiratory distress, neurological impairment, and petechial rash.

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The nurse is assessing a client with aortic stenosis. Which finding in the client's history would the nurse identify as the most common cause of this condition?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

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

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