Author Question: A client diagnosed with mitral insufficiency has a murmur with a musical quality over the apex of ... (Read 31 times)

jc611 · **on:** Jun 25, 2018

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 2

In 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.

ergserg · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: 1

1. Mitral insufficiency involves the mitral valve, located between the left atrium and left ventricle.
2. Mitral insufficiency involves the mitral valve, located between the left atrium and left ventricle.
3. Mitral insufficiency involves the mitral valve, located between the left atrium and left ventricle.
4. Mitral insufficiency involves the mitral valve, located between the left atrium and left ventricle.

Answer to Question 2

Answer: 3

1. Cardiotonics are not part of the treatment generally.
2. Activity is restricted to decrease stress on the heart, and narcotics are not needed. Anti-inflammatory drugs are given to treat the inflammation and pain.
3. Activity is restricted to decrease stress on the heart, and antibiotics are needed to eliminate the streptococcal infection.
4. Oxygen is not part of the treatment generally. Tranquilizers are not needed.