A patient on the cardiac unit asks the nurse what the first symptoms of mitral stenosis are. When discussing the clinical manifestations of mitral stenosis with this patient, it would be important for the nurse to emphasize what?
A) Palpable arterial pulsations
B) New murmur
C) Difficulty breathing
D) Mitral click
Ans: C
Feedback: The first symptom of mitral stenosis is often breathing difficulty (dyspnea) on exertion as a result of pulmonary venous hypertension. Patients with mitral stenosis are likely to show progressive fatigue as a result of low cardiac output. Palpable arterial pulsations are present in aortic regurgitation. A mitral click is present in patients with mitral valve prolapse. When a new murmur in patients with a systemic infection is found, infectious endocarditis would be suspected.
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