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A 70-Year-Old Patient with a History of Hypertension Has a Blood

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A 70-year-old patient with a history of hypertension has a blood pressure of 180/100 mm Hg and a heart rate of 90 beats per minute.The nurse hears an extra heart sound at the apex immediately before the S?.The sound is heard only with the bell of the stethoscope while the patient is in the left lateral position.With these findings and the patient's history,the nurse knows that this extra heart sound is most likely a(n) :

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Definitions:

Bactericidal

Describes agents that kill bacteria directly, as opposed to bacteriostatic agents which inhibit bacterial growth.

Urine Cultures

Laboratory tests that involve the growth of microorganisms present in the urine to identify urinary tract infections (UTIs) and determine the appropriate antimicrobial treatment.

MRSA-Positive Wound

A wound infected with Methicillin-resistant Staphylococcus aureus, a type of bacteria resistant to many antibiotics, making it difficult to treat.

Medical Waste Disposal

The process of handling, treating, and disposing of waste generated by healthcare activities in a manner that minimizes its harmful impact on humans and the environment.

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