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The 85 year old patient with a newly diagnosed heart

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4.The 85-year-old patient with a newly diagnosed heart murmur expresses concern that he hasnever been notified of this finding before. What is the most likely cause of this patient’s heartmurmur?a.Hypertensionb.Atherosclerosisc.Insufficient valvesd.Weakened pacemakerANS: CSystolic murmurs commonly appear in people over the age of 80. These murmurs are usuallyrelated to valvular dysfunction caused by thickening of the valves, especially the mitral andaortic valves.MEDICAL SURGICAL NURSING CONCEPTS AND PRACTICE 3RD EDITION DEWIT TEST BANK
PTS: 1DIF:Cognitive Level: ApplicationREF: 372OBJ: 2 (theory)TOP: Murmur in the Older AdultKEY: Nursing Process Step: AssessmentMSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease5.The nurse is caring for an older adultpatient. While auscultating the patient’s apical pulse, thenurse notices an irregular rhythm. The nurse suspects which causative factor for the patient’sdysrhythmia?
PTS: 1DIF:Cognitive Level: ApplicationREF: 372OBJ: 2 (clinical)TOP: Dysrhythmia in the Older AdultKEY: Nursing Process Step: AssessmentMSC: NCLEX: Physiological Integrity: Physiological Adaptation6.The nurse is assessing a female patient with a family history of coronary artery disease(CAD). Which report is most concerning to the nurse?
NURSINGTB.COMd.“I notice wheezing after I dust or when I exercise.”ANS: BIn addition to displaying a positive family history for CAD, report of fatigue and shoulder andback discomfort are most concerning to the nurse. Chest pain is often atypical in women andmay manifest as pain in the shoulders, back, or abdomen. Mild shortness of breath afterclimbing three flights of stairs is consistent with exertion. Awakening frequently in the nightand snoring are suspicious for obstructive sleep apnea. Wheezing in the presence of dust orwith exercise are findings consistent with potential asthma.PTS: 1DIF:Cognitive Level: AnalysisREF: 374OBJ: 9TOP: Chest Pain in WomenKEY: Nursing Process Step: EvaluationMSC: NCLEX: Health Promotion and Maintenance

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