Question

A patient is diagnosed with mitral valve stenosis. Which finding warrants immediate notification of the health care provider because of potential for decompensation?

a. Irregularly irregular heart rhythm signifying atrial fibrillation
b. Slow, bounding peripheral pulses associated with bradycardia
c. An increase and decrease in pulse rate that follows inspiration and expiration
d. An increase in pulse rate and blood pressure after exertion

Answer 1

Immediate notification of the health care provider is necessary for a patient with mitral valve stenosis who exhibits an irregularly irregular heart rhythm, as this indicates atrial fibrillation, which is potentially life-threatening. The correct option is a.

Step-by-step explanation:

A patient diagnosed with mitral valve stenosis requires immediate notification of the health care provider if they exhibit an irregularly irregular heart rhythm signifying atrial fibrillation. This condition is potentially life-threatening because atrial fibrillation can lead to further complications, including stroke and heart failure.

Arrhythmias disrupt the coordinated contractions of the heart, leading to inadequate blood flow and oxygenation of tissues, which is particularly significant in patients with pre-existing valve disorders like mitral stenosis.

Therefore, the correct option is a.