4. a nurse is auscultating a client's heart sounds. Place the nursing actions for
auscultation of the heart in the correct order.
Answer 1.elevate the head of the bed30 degrees and instruct the client to breath normally 2.
visualize the anatomy of theheart 3.place the stethoscope to the right sternal border at the 2nd
intercostal space
4. place the stethoscope close to the sternal border at the 4th intercostal space 5.auscultate the
apical pulse for 1 minute
5. a nurse is preparing to perform a cardiovascular assessment on a client. The client
asks "why do you need to use a penlight" which of the following responses should the
nurse make?
Answer the penlight will allow me to look at the pulsesin your neck
6. a nurse is auscultating heart sounds in a group of clients. Which of the following
should the nurse identify as an expected variation?
Answer an adolescentwho has an s3 heart sound
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