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The nurse is caring for a patient with mitral regurgitation. Where would the nurse listen to best hear a murmur typical of mitral regurgitation?.

Right upper-sternal border.

Left upper-sternal border.

Left lower-sternal border.

Apex.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

The right upper-sternal border is not the best place to hear a murmur typical of mitral regurgitation.

Choice B rationale:

The left upper-sternal border is not the best place to hear a murmur typical of mitral regurgitation.

Choice C rationale:

The left lower-sternal border is not the best place to hear a murmur typical of mitral regurgitation.

Choice D rationale:

The apex of the heart is the best place to hear a murmur typical of mitral regurgitation. This is where the sound will be most audible.

So, the correct answer is Choice D, after analyzing all choices.

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Correct Answer is B

Explanation

Choice A rationale:

Checking the pulse rate before taking nitroglycerin is not necessary.

Choice B rationale:

Sitting down before taking nitroglycerin can prevent dizziness and fainting, which are potential side effects of nitroglycerin.

Choice C rationale:

There is no need to remove the nitroglycerin patch before taking sublingual nitroglycerin.

Choice D rationale:

The nitroglycerin patch should not be used to treat acute chest pain.

So, the correct answer is B, after analyzing all choices.

A. Obtain blood cultures x 3. B. Administer antibiotic therapy. C. Obtain an echocardiogram. D. Restrict dental hygiene. E. Perform strenuous exercise regimen twice daily.

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale:

Obtaining blood cultures x 3 is anticipated for the client. This is because the adolescent’s symptoms such as fever, shortness of breath, and petechiae could indicate a bacterial infection, possibly endocarditis, which is a risk for individuals with a history of rheumatic fever and cardiac valve damage. Blood cultures would help identify the causative bacteria.

Choice B rationale:

Administering antibiotic therapy is anticipated for the client. The adolescent’s symptoms suggest a possible bacterial infection, which could have been introduced during the recent dental work. Antibiotics would help eliminate the bacteria and prevent further complications.

Choice C rationale:

Obtaining an echocardiogram is anticipated for the client. Given the adolescent’s history of rheumatic fever and cardiac valve damage, and current symptoms like shortness of breath and chest pain, an echocardiogram would help assess the condition of the heart valves and detect any abnormalities.

Choice D rationale:

Restricting dental hygiene is contraindicated for the client. Good oral hygiene is important, especially for individuals with a history of rheumatic fever and cardiac valve damage, as it helps prevent oral infections that could potentially spread to the heart.

Choice E rationale:

Performing a strenuous exercise regimen twice daily is contraindicated for the client. The adolescent is currently experiencing symptoms like shortness of breath and chest pain, which could be exacerbated by strenuous exercise. It’s important to avoid overexertion until the adolescent’s condition stabilizes.

So, the correct answer is, after analyzing all choices, Choices A, B, and C are anticipated for the client, while Choices D and E are contraindicated. .

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The nurse is caring for a patient with mitral regurgitation. Where would the nurse listen to best hear a murmur typical of mitral regurgitation?.

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Naxlex Comprehensive Predictor Exams

In preparation for discharge, the nurse teaches a patient with chronic stable angina how to use the prescribed short-acting and long-acting nitrates. Which patient statement indicates that the teaching has been effective?.

Correct Answer is B

Explanation

Correct Answer is ["A","B","C"]

Explanation

The nurse is providing teaching about the patient's laboratory values that increase the risk for coronary artery disease (CAD). Which of the following values should the nurse prioritize?.

Which patient statement would help the nurse confirm the previous diagnosis of chronic stable angina?.

After reviewing a patient's history, vital signs, physical assessment, and laboratory data, which information is most important for the nurse to communicate to the health care provider?.

The nurse is assessing a patient with myocarditis before giving a scheduled dose of digoxin (Lanoxin). Which finding is most important for the nurse to communicate to the health care provider?.

The nurse is caring for a patient with mitral regurgitation. Where would the nurse listen to best hear a murmur typical of mitral regurgitation?.

A patient who has chronic heart failure is admitted to the emergency department with severe dyspnea and a dry, hacking cough. Which action would the nurse take first?.

A nurse is supervising a new graduate who is providing discharge teaching to a patient diagnosed with hypertension. While teaching a patient about their newly prescribed diuretic (furosemide), which of the following statements made by the new graduate requires correction by the supervising nurse?.

Which action by the nurse will determine if therapies ordered for a patient with chronic constrictive pericarditis are effective?