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The Nurse Is Performing Cardiac Assessment on a 65-Year-Old Patient

question 4

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The nurse is performing cardiac assessment on a 65-year-old patient 3 days after the patient had a myocardial infarction.Heart sounds are normal when she is supine,but while the patient is sitting and leaning forward,the nurse hears a high-pitched,scratchy sound at the apex with the diaphragm of the stethoscope.The sound disappears on inspiration.The nurse suspects:


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