The nurse is assessing a patient with chronic heart failure. Which abnormal chest sound would the nurse most likely auscultate?
1. Systolic murmur
2. Friction rub
3. Harsh vesicular lung sounds
4. Crackles
4
Rationale 1: A systolic murmur is not expected in a patient with chronic heart failure.
Rationale 2: Friction rub is not expected in a patient with chronic heart failure.
Rationale 3: Harsh vesicular lung sounds are not expected in a patient with chronic heart failure.
Rationale 4: Fluid accumulates in the alveolar spaces in left-sided heart failure. This fluid causes the sound of crackles at the end of inspiration.
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