NCLEX-RN · Question #36
In assessing cardiovascular clients with progression of aortic stenosis, the nurse should be aware that there is typically:
The correct answer is D. Increased left ventricular systolic pressures and hypertrophy. (A) These signs are seen in pulmonic stenosis or in response to pulmonary congestion and edema and mitral stenosis. (B) These signs are seen primarily in mitral stenosis or as a late sign in aortic stenosis after left ventricular failure. (C) These signs are seen primarily in…
Question
In assessing cardiovascular clients with progression of aortic stenosis, the nurse should be aware that there is typically:
Options
- ADecreased pulmonary blood flow and cyanosis
- BIncreased pressure in the pulmonary veins and pulmonary edema
- CSystemic venous engorgement
- DIncreased left ventricular systolic pressures and hypertrophy
How the community answered
(21 responses)- A14% (3)
- B10% (2)
- C5% (1)
- D71% (15)
Explanation
(A) These signs are seen in pulmonic stenosis or in response to pulmonary congestion and edema and mitral stenosis. (B) These signs are seen primarily in mitral stenosis or as a late sign in aortic stenosis after left ventricular failure. (C) These signs are seen primarily in right-sided heart valve dysfunction. (D) Left ventricular hypertrophy occurs to increase muscle mass and overcome the stenosis; left ventricular pressures increase as left ventricular volume increases owing to insufficient emptying.
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