The nurse is assessing a client who has mitral valve regurgitation. Which of the following findings should be communicated to the health care provider immediately?
A)4+ peripheral edema in both legs
B)Crackles audible to the lung apices
C)A palpable thrill felt over the left anterior chest
D)A loud systolic murmur all across the precordium

Question

Quizplus · Accepted Answer

Crackles that are audible throughout the lungs indicate that the client is experiencing severe left ventricular failure with pulmonary congestion and needs immediate interventions such as diuretics. A systolic murmur and palpable thrill would be expected in a client with mitral regurgitation. Although 4+ peripheral edema indicates a need for a change in therapy, it does not need to be addressed urgently.

The Nurse Is Assessing a Client Who Has Mitral Valve