An adult client is admitted to the hospital with complaints of increasing fatigue. The client's history is remarkable for rheumatic fever as a child. The nurse hears a diastolic murmur at the apex when the client is in the left lateral position. The murmur is described as a rumble without radiation. Which diagnosis does the nurse anticipate based on this data?

Question

Quizplus · Accepted Answer

The presence of a diastolic rumble without radiation heard at the apex is indicative of mitral stenosis, which is often a complication of rheumatic fever. Tricuspid and pulmonic stenosis typically produce systolic murmurs, while mitral regurgitation produces a holosystolic murmur heard at the apex that radiates to the axilla.

An Adult Client Is Admitted to the Hospital with Complaints