The Nurse Is Explaining to the Student Nurses the Different

question 25

Multiple Choice

The nurse is explaining to the student nurses the different heart sounds that are assessed during the cardiac assessment.Which statement made by a student indicates understanding of the expected normal heart sounds?

• A)"If I hear the S1 as lub and S2 as dub,then that is normal and means that the valves are working."
• B)" If I hear a 'lub-dub-ee' it means the client has a ventricular gallop."
• C)"If I hear 'dee-lub-dub' then the client may have an atrial gallop.This occurs near the very end of diastole just before S1 and creates the sound."
• D)"If I hear the 'dee-lub-dub' sound in an older adult,then I should know that is considered normal for the older client."

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Definitions:

Depressed

A state characterized by feelings of severe despondency and dejection, often accompanied by a lack of energy and difficulty in maintaining concentration or interest in life.

Attention

The cognitive process of selectively concentrating on one aspect of the environment while ignoring other things.

Promise

A declaration or assurance that one will do something or that a particular thing will happen.

Obsessive-compulsive Disorder

A mental disorder characterized by recurring unwanted thoughts (obsessions) and repetitive behaviors (compulsions) that the individual feels compelled to perform.