A client diagnosed with mitral insufficiency has a murmur with a musical quality over the apex of the heart. The nurse recognizes that this is caused by:
1. Regurgitation of blood from the left ventricle into the left atrium.
2. Regurgitation of blood from the right ventricle into the right atrium.
3. Enlargement of the right ventricle due to increased pressure in the right atrium.
4. Regurgitation of blood from the aorta into the left ventricle.
Question 2In caring for a client with rheumatic heart disease, the nurse knows that priority interventions will be to:
1. Administer cardiotonic and diuretic medications.
2. Schedule regular exercise periods and administer narcotics as ordered.
3. Promote bedrest and administer scheduled antibiotics.
4. Administer oxygen and tranquilizers as ordered.
Question 3The nurse is teaching a client recently started on digitalis preparation the signs and symptoms of toxicity. The client should be instructed to notify the physician if what is experienced?
1. Anorexia, anxiety, and pulse rate below 70
2. Anorexia, nausea, malaise, and blurred vision
3. Loss of night vision, anxiety, and leg cramps
4. Vision disturbances, abdominal cramps, and pulse above 80
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