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 C

Explanation

Rationale:

A. Diminished breath sounds are not typically associated with a pericardial effusion.

B. Increased blood pressure is not typically associated with a pericardial effusion but it can instead result in hypotension due to decreased cardiac output due to compression of the heart by the accumulated fluid.

C. The heart sounds may become faint or distant due to fluid accumulation around the heart.

D. A new systolic murmur may indicate a pericardial effusion and should be further evaluated.

A. "The cardiac rehab program, can help you safely return to an active lifestyle." B. "Your doctor is the expert, and would only recommend what is best for you." C. "It's normal to feel that way at first, but once you learn the routine, you'll enjoy it." D. "Cardiac Rehab will help you get back to normal"

Correct Answer is A

Explanation

Rationale:

A. Encouraging the client to participate in the cardiac rehab program is important for recovery and returning to an active lifestyle.

B. Acknowledging the doctor's expertise is important, but it does not address the client's concerns.

C. This statement may minimize the client's concerns and is not the best response.

D. This statement is not specific and may not address the client's concerns.

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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

A nurse is caring for a client in a critical care unit who is 4 hours post operative coronary artery bypass surgery. The nurse performs the reassessment and suspects the client may be developing a pericardial effusion. What assessment findings would the nurse note in this case?

Correct Answer is C

Explanation

A nurse is caring for a client post transcatheter aortic valve replacement (TAVR). During the first cardiac rehabilitation session, the client tells the nurse, "I do not need to be here. I am feeling so much better, I can do this at home". Which of the following is the appropriate nursing response?

Correct Answer is A

Explanation

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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?