When conducting a health history on a patient with mitral valve stenosis, which of the following questions would be most important for the nurse to ask?
1. "Do any of your family members have valvular problems?"
2. "Do you have a family history of coronary artery disease?"
3. "Have you ever been diagnosed with rheumatic fever?"
4. "Have you ever been diagnosed with high blood pressure?"
3
Rationale: Mitral valve stenosis is predominantly caused by rheumatic fever. The other questions might yield additional information for the nurse, however they will not identify the cause for the patient's mitral valve stenosis as quickly as asking if the patient had a diagnosis of rheumatic fever.
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A) Tell me what you mean by ________? B) I think that expression means ____________ C) That expression is unclear to me D) Where did you hear that expression?
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