The nurse is admitting a patient with a sudden onset of dyspnea and a blowing high-pitched murmur. The nurse is most concerned about which condition?
1. Aortic stenosis
2. Acute mitral valve stenosis
3. Acute mitral valve regurgitation
4. Mitral valve prolapse
3
Rationale 1: Aortic stenosis has a harsh crescendo-decrescendo systolic murmur.
Rationale 2: Mitral valve stenosis has a low-pitched, rumbling, crescendo-decrescendo diastolic murmur.
Rationale 3: The sudden onset of symptoms indicates it is an acute problem. The dyspnea and blowing high-pitched murmur are classic clinical manifestations of mitral valve regurgitation.
Rationale 4: Mitral valve prolapse is characterized by a mid-systolic to late-systolic click heard between S1 and S2.
You might also like to view...
The intestinal hormone responsible for stimulating the pancreas to secrete fluid into the duodenum is
a. secretin. c. gastrin. b. chyme. d. pepsin.
Which information will always be included on the drug label?
A) Generic name B) Storage C) Route of administration D) Usual dosage
When irrigating a patient's ear, the nurse will:
1. straighten the ear canal and irrigate with a large-tipped bulb syringe. 2. direct the solution to the middle of the canal to avoid damaging the ear. 3. use a body temperature solution and have the patient hold a basin under the ear while directing the solution toward the top of the canal. 4. repeat the irrigation with hotter water.
The pediatric nurse observes the infant who was born with meconium aspiration for any signs of grunting or tachypnea. The nurse uses a piece of equipment called a ____________ to monitor oxygen saturation and respiratory function
Fill in the blank(s) with correct word