Which of the following clinical manifestations would be most significant when assessing a patient with the diagnosis of mitral valve stenosis?
1. an absent peripheral pulse
2. a heart rate of 110 beats per minute
3. edema of the lower extremities
4. altered deep tendon reflexes
2
Rationale: If a patient with mitral valve stenosis experiences a sudden increase in heart rate, the diastolic filling time is shortened, which results in a substantial decrease in cardiac output. A heart rate of 110 beats per minute would be the most significant finding when assessing this patient. The other choices are important but not as significant as the rapid heart rate.
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a. Medicare. b. Medicaid and private pay. c. Long-term care insurance. d. Medigap insurance.
The hormone that inhibits bone resorption and promotes bone formation is:
A) Estrogen B) Parathyroid C) Calcitonin D) Progesterone
Which finding should alert the nurse that a patient is experiencing carpal tunnel syndrome?
A) Pain worsens by shaking the affected hand and wrist. B) Pain is alleviated by elevating the hand. C) Pain is alleviated by shaking the affected hand and wrist D) Pain is alleviated by rubbing the palm of the affected hand.
A hospital is implementing a computerized charting system, and all nursing staff are required to be oriented to the system by a specific deadline. This is an example of which type of change?
A) Drift B) Covert change C) Unplanned change D) Overt change