Item 5 5 of 32 Part A 54-Year-Old Female with a Defective Heart Valve In a patie

Question

Item 5 5 of 32 Part A 54-Year-Old Female with a Defective Heart Valve In a patient with an incompetent aortic valve, the nurse expects the patient to show signs and symptoms of which of the following? Dr. El-Sheikh is a 54-year-old Egyptian female who complains of weakness, fatigue, shortness of breath, chest pain, and dizziness. Her heart rate is 96 beats/min, and her blood pressure is 148/54 mm Hg. You notice that she nods her head with every heartbeat, and her radial pulse is very strong and abrupt. Her heart sounds are abnormal, with a long diastolic murmur at the right sternal margin in the second intercostal space. Her doctor orders an echocardiogram, which shows that Dr. El-Sheikh has severe aortic regurgitation (backflow of blood through an incompetent valve) and an enlarged left ventricle Cerebral congestion. Peripheral congestion Pulmonary congestion Hepatic congestion Submit Part B Although Dr. El-Sheikh has a high systolic blood pressure, her heart rate is also high. This is most likely due to: The Bainbridge reflex, caused by increased atrial filling. Parasympathetic activation Excessive vagus nerve firing Sympathetic stimulation. Submit Request Answer

Explanation / Answer

ans 1.pulmonary congestion

due to aortic regurgitation. there is incomplete emptying of ventricle. causing increased pressure in pulmonary veins. leading to pulmonary congestion.

ans 2.d.sympathetic stimulation.

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