NURS 631 Advanced Health Assessment - Exam #2 with Verified Solutions

NURS 631 Advanced Health Assessment - Exam #2 with Verified Solutions Holosystolic murmur heard best at Apex, may transmit to axilla and sternum. - Answer -Mitral Regurgitation Symptoms of Mitral regurgitation - Answer -may be asymptomatic for decades, then SOB, Fatigue, HF What increases the murmur of Mitral regurgitation, what decreases the murmur? - Answer -Decrease murmur = stand up Increase murmur = clench fist Common causes of mitral regurgitation - Answer -Congenital abnormality, Rheumatic Heart disease, acute endocarditis, Chordae tendinae dysfunction... Mid-systolic grade II-III/VI, best heard between L. sternal border and apex. - Answer -physiologic murmur - specifically "Still's Murmur" (usually ages 3-6) Harsh, crescendo-decrescendo systolic murmur best heard at right sternal border. Can radiate to the neck - Answer -Aortic Stenosis What are the common symptoms of Aortic Stenosis - Answer -Chest pain, syncope, exercise intolerance, dyspnea, CHF. May have a long latent period before sx. what are patients at risk for with severe aortic stenosis - Answer -Sudden Death! What am I associated with .... Medium pitched CONTINUOUS murmur in both systole/diastole. Usually harsh, machinery like noise. Loud, sometimes a thrill is present. (heard best L infraclavicular fossa and pulmonic area) - Answer -patent ductus arteriosus Mid-to late systolic murmur, may have a mid-systolic click best heard over the lower left sternal border. - Answer -Mitral Valve Prolapse what are the symptoms associated with MVP? - Answ