Which finding would the nurse expect to auscultate in a patient with rheumatic heart disease causing mitral stenosis?
A) Loud S1, split S2
B) S3 and S4 heart sounds
C) Loud high-pitched rumbling murmur
D) Murmur on diastole
A) Loud S1, split S2
Explanation: A) In mitral stenosis, a loud S1, split S2, and a mitral opening snap may be heard on auscultation.
B) In aortic stenosis and aortic regurgitation, S3 and S4 heart sounds may be heard.
C) In mitral regurgitation, a loud high-pitched rumbling murmur may be auscultated.
D) In aortic regurgitation, a murmur may be heard on diastole.
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