A nurse in a provider's office is assessing a client who reports occasional atypical chest pain, palpitations, and exercise intolerance. On auscultation, the nurse notes a systolic click. The nurse should recognize this finding as a manifestation of which of the following conditions?

Aortic regurgitation,

Mitral stenosis

Aortic stenosis

Mitral valve prolapse

Answer and Explanation

The Correct Answer is D

A. Aortic regurgitation: Aortic regurgitation typically presents with a diastolic murmur, not a systolic click.

B. Mitral stenosis: Mitral stenosis presents with a diastolic murmur, often associated with an opening snap, rather than a systolic click.

C. Aortic stenosis: Aortic stenosis typically presents with a systolic ejection murmur, but not a systolic click.

D. Mitral valve prolapse: This is the correct answer. Mitral valve prolapse (MVP) is characterized by the displacement of the mitral valve leaflets into the left atrium during systole, often producing a systolic click. Symptoms associated with MVP can include atypical chest pain, palpitations, and exercise intolerance.

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Correct Answer is ["B","C","D"]

Explanation

A. Bradycardia: Emphysema itself is not directly associated with bradycardia. However, severe hypoxia or other complications may lead to changes in heart rate.

B. Barrel chest: Emphysema is characterized by the destruction of alveoli, leading to loss of elastic recoil in the lungs. This results in hyperinflation and an increase in the anteroposterior diameter of the chest, creating a barrel-shaped appearance.

C. Dyspnea: Emphysema causes difficulty in exhaling air due to the loss of elasticity in the lung tissue. This can lead to a feeling of breathlessness.

D. Deep respirations: Clients with emphysema often adopt a pattern of deep and labored breathing to compensate for the decreased efficiency of gas exchange.

E. Clubbing of the fingers: Clubbing of the fingers is more commonly associated with chronic hypoxia, but it is not a typical finding in emphysema. Clubbing can occur in certain lung diseases, but it is not a defining characteristic of emphysema.

A. I will follow a daily diet high in calories and protein." B. "I will avoid getting a flu shot." C. "I will inhale slowly through pursed lips to help me breathe better." D. "I will lie on my stomach to practice abdominal breathing every day."

Correct Answer is C

Explanation

A."I will follow a daily diet high in calories and protein": While maintaining adequate nutrition is important, emphasizing a diet high in calories may not be suitable. A balanced diet, including adequate protein, is recommended.

B."I will avoid getting a flu shot": Individuals with emphysema are at an increased risk of respiratory infections, including influenza. Getting a flu shot is generally recommended to reduce the risk of infection and complications.

C. "I will inhale slowly through pursed lips to help me breathe better."
This statement reflects a correct understanding of a beneficial breathing technique for individuals with emphysema. Inhaling slowly through pursed lips can help create back pressure in the airways, preventing them from collapsing and promoting better air exchange in the lungs. This technique can assist in managing shortness of breath and improving overall respiratory function.

D."I will lie on my stomach to practice abdominal breathing every day": While practicing abdominal breathing can be beneficial, lying on the stomach may not be the most practical or comfortable position for this purpose. The emphasis should be on proper breathing techniques, which can be done in various positions, including sitting or standing.

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A nurse in a provider's office is assessing a client who reports occasional atypical chest pain, palpitations, and exercise intolerance. On auscultation, the nurse notes a systolic click. The nurse should recognize this finding as a manifestation of which of the following conditions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect to assess in this client? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

A nurse is teaching a client who has emphysema about self-management strategies. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

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