Practice Question
A nurse is collecting data on a patient who has mitral valve stenosis. Which of the following findings should the nurse expect?
Answer Choices:
Correct Answer:
Heart murmur
Rationale:
🔷 Mitral valve stenosis is a narrowing of the mitral valve, causing turbulent blood flow between the left atrium and left ventricle. This turbulent flow produces an audible heart murmur, which is the classic finding.
🔷 The murmur is typically a diastolic, low-pitched, rumbling sound heard best at the apex of the heart when the patient is in the left lateral position.
🔷 Barrel chest is associated with chronic obstructive pulmonary disease (COPD), not valvular heart disease.
🔷 Clubbing of the fingers occurs with chronic hypoxia seen in lung disease or cyanotic heart defects, not in isolated mitral stenosis unless severe pulmonary congestion causes secondary hypoxia.
🔷 Bradycardia is not a typical feature; patients with mitral stenosis more commonly develop atrial fibrillation or tachyarrhythmias due to left atrial enlargement.
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This question is from ATI LPN Mental Health Exam-2024 which contains 38 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Mental Health
- Answer Choices: 4