A nurse is assessing a patient who has mitral valve stenosis.
What symptoms should the nurse expect?

Heart murmur

Bradycardia

Clubbing of the fingers

Barrel chest

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Mitral valve stenosis is a condition characterized by a narrowing of the mitral valve in the heart, which can lead to a variety of symptoms. One of the most common symptoms of mitral valve stenosis is a heart murmur. This is due to the turbulent flow of blood caused by the narrowed valve. The murmur is typically heard during a physical examination when a healthcare provider listens to the heart with a stethoscope.

Choice B rationale:

Bradycardia, or a slower than normal heart rate, is not typically associated with mitral valve stenosis. While mitral valve stenosis can cause irregular heart rhythms, it does not typically cause the heart rate to slow down.

Choice C rationale:

Clubbing of the fingers is a physical symptom that involves changes in the areas under and around the nails and is typically associated with conditions that cause chronic low blood oxygen levels. While mitral valve stenosis can lead to shortness of breath and fatigue, it does not typically cause clubbing of the fingers.

Choice D rationale:

A barrel chest, characterized by an increased chest diameter, is typically associated with conditions that cause chronic overinflation of the lungs, such as chronic obstructive pulmonary disease (COPD). It is not a typical symptom of mitral valve stenosis.

In conclusion, while mitral valve stenosis can lead to a variety of symptoms, the most relevant to this question is a heart murmur. Other symptoms such as bradycardia, clubbing of the fingers, and a barrel chest are not typically associated with this condition.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale:

Wheezing Wheezing is typically associated with respiratory conditions such as asthma or chronic obstructive pulmonary disease (COPD), rather than being a symptom of hyperkalemia.

Choice B rationale:

Cerebral edema Cerebral edema, or swelling in the brain, is not typically a symptom of hyperkalemia. It’s more commonly associated with traumatic brain injury, stroke, or brain tumors.

Choice C rationale:

Decreased deep tendon reflexes Decreased deep tendon reflexes can be a symptom of hyperkalemia. Hyperkalemia is a condition in which the potassium levels in your blood get too high. Potassium helps nerves send signals between your brain and the rest of your body. High levels of potassium can affect nerve function, leading to symptoms such as muscle weakness or decreased reflexes. Choice D rationale:

Hypoactive bowel sounds Hypoactive bowel sounds, or decreased or absent bowel sounds, are typically associated with conditions affecting the gastrointestinal system, such as ileus or bowel obstruction. They are not typically a symptom of hyperkalemia.

A. Dry skin B. Diarrhea C. Abdominal pain D. Hyperventilation E. Hyperventilation

Correct Answer is D

Explanation

Choice A rationale:

Dry skin is not typically associated with respiratory alkalosis. Respiratory alkalosis occurs when the levels of carbon dioxide and oxygen in the blood aren’t balanced, often due to hyperventilation. Dry skin is not listed as a common symptom of this condition.

Choice B rationale:

Diarrhea is not a common symptom of respiratory alkalosis. The condition is characterized by symptoms such as dizziness, numbness, confusion, and shortness of breath. Diarrhea is more commonly associated with gastrointestinal issues rather than respiratory conditions.

Choice C rationale:

Abdominal pain is not a typical symptom of respiratory alkalosis. The condition is usually caused by over-breathing

(hyperventilation) that occurs when you breathe very deeply or rapidly. Abdominal pain is not listed as a common symptom of this condition.

Choice D rationale:

Hyperventilation is typically the underlying cause of respiratory alkalosis. Hyperventilation, also known as overbreathing, occurs when someone breathes very deeply or rapidly. This can cause the levels of carbon dioxide in the blood to drop too low, leading to respiratory alkalosis. Therefore, a nurse assessing a client who has respiratory alkalosis should expect to find signs of hyperventilation.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assessing a patient who has mitral valve stenosis. What symptoms should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with chronic kidney disease is being examined. Which symptom is indicative of hyperkalemia?

Correct Answer is C

Explanation

A nurse is assessing a client who has respiratory alkalosis. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A charge nurse in a long-term care facility is observing another nurse who is inserting an indwelling urinary catheter into a female patient. Which action by the nurse should prompt the charge nurse to intervene?

A nurse is reinforcing teaching with a patient who reports constipation. Which of the following should the nurse discuss as causes of constipation? (Select all that apply.)

A nurse is caring for a patient who has been prescribed a stool guaiac test. The patient inquires about the purpose of the test. How should the nurse respond?

A nurse is caring for a client who has paraplegia and is on an intermittent urinary catheterization program. Which of the following findings indicates to the nurse the need to catheterize the client?

A nurse is providing dietary advice to a patient at risk for hypokalemia. Which food should the nurse recommend as a good source of potassium?

A nurse is reinforcing teaching about elimination with an adolescent who is paralyzed from the waist down following a spinal cord injury. Which statement by the adolescent indicates a need for further teaching?

A nurse is preparing to insert an indwelling urinary catheter for a patient. What actions should the nurse plan to take?

A nurse is reinforcing teaching with a patient who reports constipation. Which of the following should the nurse discuss as causes of constipation? (Select all that apply.)

A nurse is assessing a patient who has mitral valve stenosis.
What symptoms should the nurse expect?