The nurse is caring for a client admitted with a grade 3 heart murmur heard during systole. The nurse would suspect which of the following cardiac conditions? Standard Text: Select all that apply
1. Mitral regurgitation
2. Mitral stenosis
3. Aortic stenosis
4. Pulmonic stenosis
5. Tricuspid stenosis
1,3,4
Rationale 1: Mitral regurgitation. A grade 3 murmur can be heard clearly and the nurse should be able to categorize the murmur easily. The murmur associated with mitral regurgitation can be heard during systole.
Rationale 2: Mitral stenosis. The murmur associated with mitral stenosis can be heard during diastole.
Rationale 3: Aortic stenosis. Midsystolic murmurs are associated with semilunar valve disorders. This murmur is heard during midsystole and this can be associated with aortic stenosis.
Rationale 4: Pulmonic stenosis. Midsystolic murmurs are associated with semilunar valve disorders. This murmur is heard during midsystole and this can be associated with pulmonic stenosis.
Rationale 5: Tricuspid stenosis. The murmur associated with tricuspid stenosis can be heard during diastole.
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