While auscultating a client's heart sounds, the nurse hears turbulence between S1 and S2. The nurse should document this finding as which of the following?
A systolic murmur
A third heart sound (S3)
A fourth heart sound (S4)
An expected heart sound
The Correct Answer is A
A. A systolic murmur: A murmur heard between S1 and S2 occurs during systole, which is why it is classified as a systolic murmur. Systolic murmurs are often due to valve abnormalities like aortic stenosis or mitral regurgitation.
B. A third heart sound (S3): The S3 sound occurs after S2, not between S1 and S2. It is associated with rapid ventricular filling and may indicate heart failure.
C. A fourth heart sound (S4): The S4 sound occurs before S1, not between S1 and S2. It is associated with a stiff or hypertrophic ventricle.
D. An expected heart sound: A murmur is not considered an expected heart sound; it is typically abnormal and requires further investigation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is "{\"xRanges\":[82.828125,112.828125],\"yRanges\":[158,188]}"
Explanation
The sandbag should be placed over the left femoral artery insertion site where the catheter was inserted. This helps apply pressure to the site, reducing the risk of bleeding or hematoma formation by assisting with clot formation at the puncture site.
Correct Answer is ["125"]
Explanation
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