Mitral valve prolapse is more common in young women than men. Often, it leads to mitral valve regurgitation

a. Although this may be an autonomic nervous system dysfunction disorder, discuss the process of damage this disorder does to the heart.
b. What does auscultation of the heart reveal?


Students' answers should include the following:
a. Discussion should include the decreased circulatory volume, the angiotensin-aldosterone response, distended cusps, stretched papillary muscles, atypical pain, and other information.
b. Discussion on this should be centered on assessment skills of the heart and heart sounds (hint: murmur, click) and what makes them disappear.

Nursing

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A postmenopausal client is receiving alendronate. Which of the following would the nurse include when teaching the client about this drug?

A) "Take the drug with milk or milk products to enhance absorption." B) "Drink at least 8 oz of water when you take this drug." C) "Be sure to take the drug just before going to bed at night." D) "Lie down for at least 30 minutes after you've taken the drug."

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A nurse is caring for an infant with PDA. The nurse would anticipate that which of the following medications, administered intravenously, will be ordered by the physician to treatment the infant's PDA?

a. Erythromycin c. Bleomycin b. Azulfidine d. Indomethacin

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The client was prescribed both heparin and warfarin sodium (Coumadin). What is the rationale for using both these anticoagulants?

a. It takes time before the action of oral anticoagulants is evident. b. Heparin is more effective when used with warfarin sodium. c. By administering an oral anticoagulant with heparin, the client needs less frequent administration of heparin. d. The client is less likely to experience adverse effects

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