Ati nur211 mobility exam
Ati nur211 mobility exam ( 29 Questions)
James, the ICU nurse, is assessing a client with mitral valve insufficiency. What findings should the nurse anticipate?
Neck vein distention is a common finding in patients with mitral valve insufficiency. This condition leads to increased pressure in the left atrium, which can back up into the pulmonary veins and subsequently the right side of the heart, causing jugular venous distention.
Splenomegaly is not typically associated with mitral valve insufficiency. It is more commonly seen in conditions like liver disease, hematologic disorders, and infections. Mitral valve insufficiency primarily affects the heart and lungs rather than the spleen.
Petechiae are small, red or purple spots caused by bleeding into the skin. They are not a common finding in mitral valve insufficiency. Petechiae are more often associated with conditions that affect platelet function or coagulation, such as thrombocytopenia or vasculitis.
An S4 heart sound, also known as an atrial gallop, can be heard in patients with mitral valve insufficiency. This sound occurs due to the atria contracting forcefully to overcome a stiff or hypertrophic ventricle, which is often a result of chronic pressure overload from the regurgitant flow.
Choice A Reason:
Neck vein distention is a common finding in patients with mitral valve insufficiency. This condition leads to increased pressure in the left atrium, which can back up into the pulmonary veins and subsequently the right side of the heart, causing jugular venous distention.
Choice B Reason:
Splenomegaly is not typically associated with mitral valve insufficiency. It is more commonly seen in conditions like liver disease, hematologic disorders, and infections. Mitral valve insufficiency primarily affects the heart and lungs rather than the spleen.
Choice C Reason:
Petechiae are small, red or purple spots caused by bleeding into the skin. They are not a common finding in mitral valve insufficiency. Petechiae are more often associated with conditions that affect platelet function or coagulation, such as thrombocytopenia or vasculitis.
Choice D Reason:
An S4 heart sound, also known as an atrial gallop, can be heard in patients with mitral valve insufficiency. This sound occurs due to the atria contracting forcefully to overcome a stiff or hypertrophic ventricle, which is often a result of chronic pressure overload from the regurgitant flow.
