While taking a history, a nurse learns that a patient had rheumatic heart disease as a child. Based on this information, what abnormal data might this nurse expect to find during an examination?
A) An extra beat just before the S2 heart sound heard during auscultation
B) A raspy machine-like or blowing sound heard during auscultation
C) A prominent thrust of the heart against the chest wall felt on palpation
D) A visible indentation of pericardial tissue noted during inspection

Question

Quizplus · Accepted Answer

A raspy machine-like or blowing sound heard during auscultation is a description of a murmur that can develop after rheumatic heart disease. An extra beat just before the S1 heart sound heard during auscultation is a description of the S4 heart sound that occurs when there is hypertrophy of the ventricle. A prominent thrust of the heart against the chest wall felt on palpation is a description of a heave, which may occur from left ventricular hypertrophy due to increased workload. A visible indentation of pericardial tissue noted during inspection is a description of a retraction that begins in the intercostal spaces and occurs with increased respiratory effort.

While Taking a History, a Nurse Learns That a Patient