A client reports a family history of aortic stenosis. Which assessment finding would the nurse identify as the most likely contributing factor?
A) High blood pressure
B) Missing aortic cusp
C) Unidirectional blood flow
D) Chest pain
B
Feedback:
In young adults, aortic stenosis usually is a consequence of a congenital defect in which the valve has two instead of three cusps. High blood pressure and chest pain are symptoms that can be exhibited in aortic stenosis. Unidirectional blood flow is the normal flow of blood through the heart.
You might also like to view...
Patience is 29 years old and has been HIV positive for 9 years. She has remained asymptomatic and is not taking antiretroviral medication
Recently she was at the drop-in clinic to talk to a public health nurse about having a baby through artificial insemination. She said she had met a man who wanted to marry her and have children with her, but she was concerned about the baby contracting HIV. Her latest blood tests indicated her CD4+ count was 380/ µL. The PCR test indicated her viral load was 850. The nurse referred her to the physician to discuss antiretroviral therapy during her pregnancy. What are the factors that increase the chance of HIV transmission from mother to infant, and how the transmission occurs? Patience was told that after she became pregnant, she would begin HAART therapy. Describe what this therapy is and what particular antiretroviral medication would be particularly useful to her during her pregnancy. What concern is there about administering certain antiretrovirals early in the pregnancy? Individuals with HIV are prone to contracting opportunistic infections. What are opportunistic infections and the risk factors that leave an individual with HIV particularly prone to contracting this type of illness?
Which statement is correct regarding the treatment of corticosteroid excess with aminoglutethimide?
a. The agent selectively lowers the production of glucocorticoids. b. Aminoglutethimide permanently blocks the synthesis of corticosteroids. c. The agent is used temporarily until definitive therapy can be provided. d. Fortunately, this agent is devoid of side effects.
Because of high levels of progesterone during pregnancy, the woman is at risk of developing:
A) Respiratory alkalosis. B) Metabolic alkalosis. C) Respiratory acidosis. D) Decreased tidal volume.
A client with COPD tells the nurse, "I don't see why I need to stop smoking because the damage to my lungs is already done." Which statement should the nurse provide the client?
A. "If you stop smoking, your lungs have a good chance of improving quickly." B. "Your symptoms may be lessened if you aren't smoking." C. "You should at least try because smoking is associated with other diseases." D. "If you stop smoking the disease process will not advance."