During auscultation of a patient's heart sounds, the nurse hears an unfamiliar sound. The nurse should:
a. Document the findings in the patient's record.
b. Wait 10 minutes, and auscultate the sound again.
c. Ask the patient how he or she is feeling.
d. Ask another nurse to double check the finding.
ANS: D
If an abnormal finding is not familiar, then the nurse may ask another examiner to double check the finding. The other responses do not help identify the unfamiliar sound.
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