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 ["A","C","D"]

Explanation

A. Apply pressure to the nares:

Applying gentle pressure to the nares can help control bleeding.

B. Tilt the client's head backward:

Tilt the head forward slightly to prevent blood from flowing down the back of the throat and to avoid swallowing blood.

C. Place ice to the bridge of the client's nose:

Cold packs can help constrict blood vessels and reduce bleeding.

D. Move the client into high-Fowler's position:

Sitting the client upright in a high-Fowler's position can minimize blood flow to the head and reduce bleeding.

E. Instruct the client to blow his nose:

Blowing the nose may disrupt clots and increase bleeding.

A. Nausea B. Dysphagia C. Hypotension D. Agitation

Correct Answer is D

Explanation

A. Nausea: While respiratory distress can lead to various symptoms, nausea is not a typical manifestation of hypoxemia during an asthma attack.

B. Dysphagia: Difficulty swallowing (dysphagia) is not a direct manifestation of hypoxemia during an asthma attack. Asthma primarily affects the airways and respiratory function.

C. Hypotension: Hypotension (low blood pressure) is not typically associated with hypoxemia during an asthma attack. In fact, increased respiratory effort and stress can lead to increased heart rate and, in some cases, increased blood pressure.

D. Agitation: This is the correct answer. Hypoxemia, which occurs when there is an inadequate amount of oxygen in the blood, can lead to increased restlessness, anxiety, and agitation. Agitation is a common manifestation of the body's response to insufficient oxygenation.

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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?

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