A nurse is caring for a client with a heart murmur due to mitral valve disease. Where would the nurse hear the murmur the loudest?

Fourth intercostal space, right sternal border

Second intercostal space, right sternal border

Fifth intercostal space, left midclavicular line

Third intercostal space, left midclavicular line .

Answer and Explanation

The Correct Answer is C

A heart murmur due to mitral valve disease is typically heard loudest over the mitral area, which is located at the fifth intercostal space in the left midclavicular line.

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Correct Answer is A

Explanation

Choice A rationale

Consuming excessive amounts of antacids, such as TUMS, can lead to metabolic alkalosis. Antacids contain bicarbonate, which can neutralize stomach acid. However, excessive bicarbonate in the body can disrupt the acid-base balance, leading to metabolic alkalosis.

Choice B rationale

Respiratory acidosis is typically caused by conditions that result in hypoventilation, such as lung diseases or drug overdose, not by excessive antacid consumption.

Choice C rationale

Metabolic acidosis is typically caused by conditions that increase acid in the body or decrease bicarbonate, such as kidney disease or lactic acidosis, not by excessive antacid consumption.

Choice D rationale

Respiratory alkalosis is typically caused by conditions that result in hyperventilation, such as anxiety or fever, not by excessive antacid consumption.

A. Metronidazole may cause constipation. B. Metronidazole can cause anxiety. C. Metronidazole may cause an unusual metallic taste in your mouth. D. Metronidazole will cause an upset stomach.

Correct Answer is C

Explanation

Choice A rationale

While constipation can be a side effect of many medications, it is not commonly associated with metronidazole.

Choice B rationale

Anxiety is not a common side effect of metronidazole. If a patient experiences anxiety while taking metronidazole, it’s important to discuss this with a healthcare provider as it may be related to other factors.

Choice C rationale

Metronidazole may cause an unusual metallic taste in the mouth. This is a common side effect of the medication and is usually temporary. Patients should be advised that if the metallic taste persists or becomes bothersome, they should consult their healthcare provider.

Choice D rationale

While metronidazole can cause gastrointestinal upset, it’s not guaranteed to cause an upset stomach in every patient. If a patient experiences persistent or severe gastrointestinal upset while taking metronidazole, they should consult their healthcare provider.

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A nurse is caring for a client with a heart murmur due to mitral valve disease. Where would the nurse hear the murmur the loudest?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with a history of gastroesophageal reflux disease (GERD) consumes 15 TUMS antacid tablets daily. What risk does the nurse understand this patient is facing?

Correct Answer is A

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

A patient is prescribed metronidazole orally. What statement should be included in the discharge teaching?

Correct Answer is C

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

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