Aortic insufficiency/regurgitation murmur is classified as a:
Systolic murmur
Diastolic murmur
Absent murmur
Very faint murmur
The Correct Answer is B
A. Systolic murmur: Systolic murmurs occur during systole and include conditions like aortic stenosis or mitral regurgitation.
B. Diastolic murmur: Aortic insufficiency/regurgitation occurs during diastole when the aortic valve fails to close properly, allowing blood to flow back into the left ventricle.
C. Absent murmur: Aortic insufficiency/regurgitation is not classified as absent; it is detectable with auscultation.
D. Very faint murmur: Although aortic regurgitation murmurs can vary in intensity, the classification pertains to the timing of the murmur, not its loudness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Thigh muscles: While thigh muscles assist in venous return, they are not as critical as the calf muscles in moving blood from the feet.
B. Arterial pulsations: Arterial pulsations help in the forward movement of blood in the arteries but do not directly assist with venous return from the feet.
C. Venous flow: Venous flow is the general term for blood movement in veins, but it does not specify the mechanism responsible for moving blood from the feet.
D. Calf muscles: The calf muscles, through their contraction (often referred to as the "muscle pump"), are crucial in helping to push blood upwards from the feet towards the inferior vena cava. This mechanism is essential for effective venous return.
Correct Answer is A
Explanation
A. Palpating McBurney's point for rebound tenderness helps evaluate for appendicitis, which is relevant given the client’s localized tenderness in the right lower quadrant.
B. Murphy's sign is used to assess for gallbladder inflammation, which is not indicated by right lower quadrant pain.
C. The Tinel sign is used to assess for nerve irritation, not abdominal pain or appendicitis.
D. Testing for a fluid wave is used to assess for ascites, which does not fit the presentation of localized right lower quadrant pain.
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