A patient presents with tachypnea and labored breathing and is admitted for acute respiratory failure. The Chest X-ray reveals bilateral pulmonary congestion. The nurse auscultates a loud systolic murmur at the apical area. After a PA catheter is inserted, large prominent V waves are present during during the PAOP reading. Which of the following should the nurse suspect:
- Aortic stenosis
- Aortic insufficiency
- Mitral stenosis
- Mitral insufficiency