Version| Distinction
While auscultating a patient's heart sounds, the nurse hears turbulent flow type sounds.
Which is the most likely cause of this sound?
Closure of the atrioventricular (AV) valves
Closure of the semilunar valves
Mitral valve stenosis
Murmur
Rationale: A murmur is a turbulent flow sound from the regurgitation of blood through an
incompetent valve.
Test Taking Tips:Kterm-30ey word is "turbulent," which differentiates it from other
sounds. - ✔️✔️- Answer: Murmur
Rationale: A murmur is a turbulent flow sound from the regurgitation of blood through an
incompetent valve.
Closure of the atrioventricular (AV) valves
Rationale: Closure of the AV valves creates the S1 heart sound and represents
ventricular systole.
Closure of the semilunar valves
Rationale: Closure of the semilunar valves creates the S2 heart sound and signifies the
beginning of diastole.
Mitral valve stenosis
, Rationale: A high-pitched click heard during early diastole is the sound of a mitral valve
stenosis.
Murmur
Rationale: A murmur is a turbulent flow sound from the regurgitation of blood through an
incompetent valve.
The nurse caring for a patient in skeletal traction says, "my calf hurts on the other leg."
The nurse asks the patient to describe the pain. Which pain description is consistent
with deep vein thrombosis (DVT)?
A. diabetes
B. Pregnancy
C. Dyslipidemia
D. Limb ischemia - ✔️✔️- B. Pregnancy
pregnancy is one of the risk factors of deep-veins thrombosis
A woman who is undergoing chemotherapy for breast cancer develops a warm,
reddened area in her left calf. The nurse gives a Situation, Background, Assessment,
Recommendation (SBAR) report to the provider. Which test should the nurse request?
A. radiography imaging
B. D-dimer test
C. Treadmill-test
D. Plehysmography - ✔️✔️- B. Cancer is one of the risk factors for deep vein
thrombosis DVT. A d-dimer test is a diagnostic test used to evaluate DVTs.