The nurse auscultating heart sounds notes that a client has an opening snap and a low-pitched, rumbling murmur over the apex. This assessment would indicate
A) aortic stenosis.
B) mitral stenosis.
C) pulmonic prolapse.
D) tricuspid regurgitation.

Question

Quizplus · Accepted Answer

The murmur characteristic of mitral stenosis is low pitched and rumbling and is preceded by an opening snap caused by the built-up pressure. It is heard best over the apex. The murmur of aortic stenosis is systolic and may be associated with a diminished second heart sound and early ejection click. The murmur of pulmonic prolapse is a crescendo-decrescendo, high-pitched diastolic blowing sound. Tricuspid regurgitation produces a holosystolic murmur heard best along the left sternal border.

The Nurse Auscultating Heart Sounds Notes That a Client Has