During a health history, a patient tells the nurse that he has had trouble in starting his urine stream. Which term is used to document this symptom?

Choice A reason: The S2 sound is produced by the closure of aortic and pulmonic valves, not tricuspid and aortic. Tricuspid closure contributes to S1, so this is incorrect for the S2 heart sound.

Choice B reason: Mitral and tricuspid valve closure produce the S1 sound, not S2. Aortic and pulmonic valves close during diastole, creating S2, so this incorrect for the second heart sound.

Choice C reason: The S2 sound results from the closure of the aortic and pulmonic valves at the end of systole, marking diastole’s start. This is the standard mechanism, making it the correct choice for S2.

Choice D reason: Pulmonic and mitral valves don’t close simultaneously; mitral closes for S1, pulmonic for S2. Aortic and pulmonic valves form S2, so this is incorrect for the heart sound.

Choice A reason: Breathing difficulty is the highest priority, as it affects oxygenation, a life-threatening issue. Pain is next, impacting comfort and recovery, followed by sleep, which supports healing. This follows the ABC (Airway, Breathing, Circulation) prioritization, making it the correct order for addressing the patient’s issues.

Choice B reason: Prioritizing sleep over pain after breathing is incorrect; pain is more urgent, as it distresses and affects recovery, while sleep is secondary. Breathing remains first, but pain precedes sleep, so this is incorrect for prioritization.

Choice C reason: Sleep as the first priority ignores breathing, a critical life-threatening issue. Breathing and pain are more urgent, with sleep supporting long-term recovery, so this is incorrect for acute care prioritization principles.

Choice D reason: Placing sleep first and breathing last disregards life-threatening breathing issues. Breathing, then pain, then sleep align with ABC priorities, ensuring patient patient safety, so this is incorrect for the nurse’s approach.