While taking a history, a nurse learns that a client 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 sinking of tissue around the ribs noticed on inspection
ANS: B
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