When listening to a clients heart sounds during auscultation which sounds would most likely be heard using the bell of the stethoscope?

SA node
-Where
-bpm
-what is it called in different name

In Right atrium
"Packemaker"
60-100 bpm

abnormal heart sounds

Murmur
S3
S4

Normal heart sounds

sounds produced when the valves close; normal heart sounds are
S1 (atrioventricular valves) and
S2 (semilunar valves)

Murmur sounds

sweeshing
regurgitation-not fully losed
stenosis-not fully open

S3 heart sound

Just after S2
Increased ventricular filling pressure (e.g., mitral regurgitation, HF), common in dilated ventricles
Young/athlete-normal
older-HF
Kentucky

S4 heart sound

Just before S1
Ventricular hypertrophy
diastolic HF
Pulmonary Stenosis, Pulmonary HTN
Tennessee

S1 murmur

S1 murmur (S2 opposite)
Aortic Stenosis
Pulmonic Stenosis
Tricuspid Regurgitation
Mitral Regurgitation

Therapeutic management for Murmur

Echocardiogram
Endocarditis
Papillary muscle ruptureVegetation on valves
If severe valve damage - replacement

A nurse auscultates a client's heart sounds during an initial assessment. The nurse listens to sounds at the angle of Louis on the client's chest. Which best describes this location?

The point where the floating ribs meet the sternum
The joint of the sternal body and the manubrium
The indentation on the superior portion of the manubrium
The level between the 4th and 5th intercostal space on the left side

The joint of the sternal body and the manubrium
The angle of Louis, also called the sternal angle, is located on the joint of the sternal body and the manubrium. It is just below the suprasternal notch and forms part of the ribcage.

When reviewing documentation, the nurse notes that the S2 sound was documented as audible. What would this sound indicate?

Pulmonic valve opening
Pulmonic valve closing
Tricuspid valve closing
Tricuspid valve opening

correct: Pulmonic valve closing
The S2 sound indicates the closure of the aortic and pulmonic valves.

Tricuspid valve closing
The S2 sound indicates the closure of the aortic and pulmonic valves. The tricuspid valve closing would be heart with the S1 sound.

Valves opening don't make a sound.

A client is experiencing chest pain and the client's inflammatory markers are elevated. The nurse is worried about the client having pericarditis. What heart sound would the nurse expect to hear if the client does have pericarditis?

Rubbing
Clicking
Gallop
Swooshing

Rubbing
Rubbing indicates the presence of inflammation in the pericardium, such as in pericarditis.

Swooshing
Swooshing sounds indicate murmurs, which are evidence of valvular disease (stenosis or regurgitation).

Clicking
Clicks are often heard with mitral valve prolapse or aortic stenosis, or can be heard in someone with a prosthetic valve.

Gallop S3
this indicates blood prematurely rushing into the ventricle. This is often related to volume overload as seen in heart failure, but could also be caused by pulmonary hypertension or coronary artery disease.

When listening to a client's heart sounds during auscultation, which sounds would most likely be heard using the bell of the stethoscope?

High-frequency murmurs
S2
S1
S3

S3
The bell = low-pitched sounds, diaphragm = high-pitched sounds. The bell is used to assess the S3 and S4 heart sound, as these are low-pitched sounds.

S1,S2,High-frequency murmurs
These sounds are best heard with the diaphragm of the stethoscope.

A nurse is auscultating heart sounds for a client with a history of pulmonary hypertension. Which sound would the nurse expect to hear due to this disease process?

Gallop
Rubbing
Clicking
Swooshing

Gallop S3
this indicates blood prematurely rushing into the ventricle. This is often related to volume overload as seen in heart failure, but could also be caused by pulmonary hypertension or coronary artery disease.

Swooshing
Swooshing sounds indicate murmurs, which are evidence of valvular disease (stenosis or regurgitation).

Clicking
Clicks are often heard with mitral valve prolapse or aortic stenosis, or can be heard in someone with a prosthetic valve.

Rubbing
Rubbing indicates the presence of inflammation in the pericardium, such as in pericarditis.

A nurse is auscultating a client's heart sounds. The client asks if the nurse can hear their aortic murmur. The nurse places the stethoscope over Erb's point and listens for which sound?

Rubbing
Swooshing
Gallop
Clicking

Swooshing
Swooshing sounds indicate murmurs, which are evidence of valvular disease (stenosis or regurgitation). An aortic murmur would best be auscultated either over the 2nd intercostal space, right sternal border, or at Erb's point (3rd intercostal space, left sternal border.)

Rubbing
If you hear a gallop sound (S3) you are hearing the blood prematurely rushing into the ventricle. This is often related to volume overload as seen in heart failure, but could also be caused by pulmonary hypertension or coronary artery disease.

Clicking
Clicks are often heard with mitral valve prolapse or aortic stenosis, or can be heard in someone with a prosthetic valve.

Gallop
Rubbing indicates the presence of inflammation in the pericardium, such as in pericarditis.

A nurse is assessing a client's heart sounds. The nurse charts that the S1 sound is audible. What does this sound indicate?

Mitral valve opening
Aortic valve opening
Aortic valve closing
Mitral valve closing

Mitral valve closing
The S1 sound is indicative of the mitral and tricuspid valves closing.

Aortic valve closing=S2

Opening valves do not make sounds. The heart sounds are made by the closing of the valves.

A nurse is performing an initial assessment on a client with heart disease. The nurse hears a systolic click, which sounds like a high-pitched sound during the late part of systole. The systolic click heard on auscultation most likely indicates which of the following?

Normal heart sound
Increased blood flow through the heart chambers
Mitral valve prolapse
Pulmonary hypertension

Mitral valve prolapse
A systolic click is a high-pitched sound that is heard at the late part of systole. When this sound is heard, it can indicate mitral valve prolapse, causing abnormal blood flow through the heart.

Normal heart sound
The systolic click is not a normal heart sound.

Increased blood flow through the heart chambers does not result in extra heart sounds, but the heart pumps more quickly in this situation.

Pulmonary hypertension
With pulmonary hypertension, murmurs may be heard, but not a late systolic click.

A nurse is listening to a client's heart sounds and hears the systolic heart sound. The nurse notes this in the chart as which of the following?

S2
S1
S4
S3

S1
S1 is the systolic heart sound, which is the sound of the heart contracting.
S2
This is the diastolic heart sound.

S3 = abnormal. Conditions these sounds may indicate include an MI, HTN, cardiomyopathy or cardiac gallup.
S4 = abnormal. Conditions these sounds may indicate include an MI, HTN, cardiomyopathy or cardiac gallup.

A nurse is reviewing a client's history and notes that the client has aortic stenosis. What heart sound would the nurse expect to hear?

Gallop
Swooshing
Rubbing
S4 heart sound

Swooshing
Swooshing sounds indicate murmurs, which are evidence of valvular disease (stenosis or regurgitation). An aortic murmur would best be auscultated either over the 2nd intercostal space, right sternal border, or at Erb's point (3rd intercostal space, left sternal border.

Rubbing
An S4 sound is caused by the atria forcefully contracting to try to overcome an abnormally stiff or hypertrophic ventricle.
S4 heart sound
Rubbing indicates the presence of inflammation in the pericardium, such as in pericarditis.
Gallop S3
this indicates blood prematurely rushing into the ventricle. This is often related to volume overload as seen in heart failure, but could also be caused by pulmonary hypertension or coronary artery disease.

Which sounds would most likely be heard using the bell of the stethoscope?

Using the Stethoscope The bell is used to hear low-pitched sounds.

When listening to a client's heart sounds during auscultation which sounds would most likely be heard using the bell of the stethoscope *?

When listening to a client's heart sounds during auscultation, which sounds would most likely be heard using the bell of the stethoscope? The bell = low-pitched sounds, diaphragm = high-pitched sounds. The bell is used to assess the S3 and S4 heart sound, as these are low-pitched sounds.

What is the bell of the stethoscope used for?

The bell is used to detect low-frequency sounds and the diaphragm to detect high-frequency sounds.

Do you Auscultating heart sounds with bell or diaphragm?

A stethoscope is used to auscultate for heart sounds. The diaphragm of the stethoscope is used to identify high-pitched sounds, while the bell is used to identify low-pitched sounds. There are two normal heart sounds that should be elicited in auscultation: S1 (lub) and S2 (dub).