Question

question 6
1 pts
while performing a focused cardiac assessment, the nurse auscultates an abnormal swooshing sound. which action is most appropriate to clarify the nurses finding?
the nurse asks the patient about a history of cardiac dysrhythmias.
the nurse uses the bell of the stethoscope while asking the patient to lean forward.
the nurse asks the patient about a history of heart stents.
the nurse uses the diaphragm of the stethoscope while asking the patient to take a deep breath.

Explanation:

The bell of the stethoscope is better at detecting low - pitched sounds like those associated with some cardiac murmurs (the swooshing sound). Having the patient lean forward can bring the heart closer to the chest wall for better auscultation. Asking about history (dysrhythmias, stents) doesn't directly clarify the sound heard during auscultation. The diaphragm is better for high - pitched sounds.

Answer:

The nurse uses the bell of the stethoscope while asking the patient to lean forward.