You are examining a 5-year-old before he begins school. You notice a systolic, grade II/VI vibratory murmur over the LLSB and apex with normal S2 splitting. He has normal pulses as well. Which of the following is most likely?
A) Tricuspid stenosis
B) Mitral stenosis
C) Still's murmur
D) Venous hum
C) Still's murmur
This description is consistent with Still's murmur, a very common and benign murmur of childhood. Tricuspid and mitral stenosis would be diastolic murmurs and the venous hum is usually not heard in this area. Further evaluation is usually not necessary.
You might also like to view...
A vegan client who avoids all animal proteins, including dairy products and eggs, may have deficiencies of:
a. vitamins A and D c. iron b. vitamins B complex and C d. magnesium
The client arrives at the surgeon's office 1 week after surgery to have the sutures removed. Which classification would the nurse use when documenting care for this client?
1. Preoperative 2. Postoperative 3. Perioperative 4. Intraoperative
When evaluating a patient's progress toward targeted outcomes, the nurse must always explore which of the following?
a. staff's perception of whether goals were met or not, and to what degree b. patient's perception of whether goals were met or not, and to what degree c. family's perception of whether goals were met or not, and to what degree d. physician's perception of whether goals were met or not, and to what degree
Connection power involves the use of networking or involving more than one person to work collaboratively toward a common goal
Indicate whether the statement is true or false