A nurse is assessing a patient with known mitral valve regurgitation. The nurse should expect to hear which of the following heart sounds?

Murmur

S3 and S4

Click

Friction rub

Answer and Explanation

The Correct Answer is A

Rationale:

A. Mitral valve regurgitation typically presents with a murmur, which is a characteristic sound associated with the backflow of blood into the left atrium during systole.

B. S3 and S4 are not typical heart sounds and do not relate to mitral valve regurgitation.

C. A click is typically associated with mitral valve prolapse, not mitral valve regurgitation.

D. A friction rub is typically associated with pericarditis, not mitral valve regurgitation.

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Correct Answer is B

Explanation

Rationale:

A. Alteplase (fibrinolytics) is used to dissolve clots in coronary arteries during an acute myocardial infarction (AMI).

B. IV Nitroglycerine is a vasodilator that dilates coronary blood vessels, increasing blood flow to the myocardium.

C. Metoprolol (beta blockers) are used to decrease heart rate, blood pressure, and myocardial oxygen demand.

D. IV Heparin is used to prevent further clot formation in coronary arteries during an acute myocardial infarction (AMI).

A. Swelling at the insertion site and cool extremity B. Oozing blood from the insertions site C. The client has not voided since returning to recovery. D. Blood pressure reading of 110/70 and heart rate of 90

Correct Answer is A

Explanation

Rationale:

A. Swelling at the insertion site and cool extremity may indicate bleeding or hematoma formation at the site.

B. Oozing blood from the insertion site is expected immediately after a cardiac catheterization.

C. The client has not voided since returning to recovery is not related to the cardiac catheterization.

D. Blood pressure reading of 110/70 and heart rate of 90 are within normal limits.

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A nurse is assessing a patient with known mitral valve regurgitation. The nurse should expect to hear which of the following heart sounds?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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