A patient has a split S2 heart sound. Where would the nurse auscultate to best hear this sound?
1. 2nd intercostal space left of the sternum
2. 5th intercostal space midclavicular line
3. 3rd intercostal space right of the sternum
4. 4th intercostal space left midaxillary line
1
Rationale 1: A split S2 heart sound is heard best in the pulmonic area, which is the 2nd intercostal space left of the sternum.
Rationale 2: The 5th intercostal space midclavicular line is the mitral area. S1 is heard best at the mitral area.
Rationale 3: It would be more difficult to hear an S2 split to the right of the sternum.
Rationale 4: It would be difficult to hear an S2 split at the midaxillary line in the 4th intercostal space.
You might also like to view...
The nurse is collecting data for a patient who has hearing loss. Which data collection finding for the patient indicates this?
a. Converses easily with the nurse b. Answers questions appropriately c. Relaxes facial features during conversation d. Speaks in an unusually loud voice
Factors that influence health care costs include which of the following? (Select all that apply.)
a. Technology and intensity b. Demographics—the aging population c. Chronic illness d. Use of the health care system e. Type of health care insurance
Identify the major component for the maintenance of health used in the Roy Adaptation Model of nursing
a. Systems b. Lack of illness c. Adaptation d. Use of medicine
Which program would typically be found in a state health department?
a. Senior health b. Dental services c. HIV/AIDS service d. Mental health