During chest auscultation, the nurse hears a quiet murmur immediately upon placing the stethoscope on the client's chest. The nurse interprets this as which grade?

III

Answer and Explanation

The Correct Answer is A

A. I: A grade I murmur is very faint and may not be heard immediately without careful listening. The description of a murmur heard immediately upon placing the stethoscope indicates it is a grade I.

B. X: There is no grade X in the standard grading scale for heart murmurs.

C. II: A grade II murmur is quiet but easily heard with a stethoscope and would generally be more audible than described.

D. III: A grade III murmur is moderately loud and would be heard without difficulty. The description suggests a quieter murmur.

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Correct Answer is D

Explanation

A. Gallops refer to abnormal heart sounds that occur during the cardiac cycle, not typically associated with sounds over the carotid artery.

B. Murmurs are abnormal heart sounds that occur due to turbulent blood flow in the heart, not typically related to the carotid artery.

C. Normal findings would not usually include high-pitched swooshing sounds over the carotid artery; such sounds are abnormal.

D. Bruits are abnormal sounds caused by turbulent blood flow in the arteries, which can be detected as high-pitched swooshing sounds over the carotid artery, often indicative of stenosis or narrowing of the vessel.

A. Flat murmur B. Diastolic murmur C. Absent murmur D. Systolic murmur

Correct Answer is D

Explanation

A. A flat murmur does not accurately describe the type of murmur associated with mitral insufficiency.

B. Mitral insufficiency is typically classified as a systolic murmur, not diastolic.

C. An absent murmur would indicate no audible sound, which is not applicable here.

D. Mitral insufficiency or regurgitation is characterized by a systolic murmur due to the backflow of blood from the left ventricle into the left atrium during systole.

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During chest auscultation, the nurse hears a quiet murmur immediately upon placing the stethoscope on the client's chest. The nurse interprets this as which grade?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse hears high-pitched swooshing sounds over the carotid artery on the right side. What is this sound indicative of?

Correct Answer is D

Explanation

A mitral insufficiency/regurgitation murmur is classified as:

Correct Answer is D

Explanation

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