Which finding should the nurse expect when assessing a patient with severe portopulmonary syndrome?
A) An S4 heart sound (fourth heart sound)
B) A murmur of mitral regurgitation
C) An accentuated S2 (second heart sound)
D) A murmur of pulmonic stenosis
C) An accentuated S2 (second heart sound)
Explanation: A) Patients with portopulmonary syndrome may exhibit a hyperdynamic precordium, an accentuated second heart sound, or a systolic murmur caused by tricuspid regurgitation. Jugular vein distention, peripheral edema, ascites, and an S3 may be found in patients with severe portopulmonary syndrome.
B) Patients with portopulmonary syndrome may exhibit a hyperdynamic precordium, an accentuated second heart sound, or a systolic murmur caused by tricuspid regurgitation. Jugular vein distention, peripheral edema, ascites, and an S3 may be found in patients with severe portopulmonary syndrome.
C) Patients with portopulmonary syndrome may exhibit a hyperdynamic precordium, an accentuated second heart sound, or a systolic murmur caused by tricuspid regurgitation. Jugular vein distention, peripheral edema, ascites, and an S3 may be found in patients with severe portopulmonary syndrome.
D) Patients with portopulmonary syndrome may exhibit a hyperdynamic precordium, an accentuated second heart sound, or a systolic murmur caused by tricuspid regurgitation. Jugular vein distention, peripheral edema, ascites, and an S3 may be found in patients with severe portopulmonary syndrome.
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