Author Question: Which of the following statements describe the proper technique for auscultating heart sounds? ... (Read 78 times)

crazycityslicker · **on:** Jul 23, 2018

Which of the following statements describe the proper technique for auscultating heart sounds? Select all that apply.

a. Auscultate in an orderly fashion starting at the aortic area and proceeding to pulmonic, tricuspid, and mitral areas.
b. Listen for S1 first in all landmark areas, then proceed to listening for S2 in all landmark areas.
c. Use the diaphragm of the stethoscope for normal sounds the bell of the stethoscope to detect any extra sounds.
d. Rotate the starting point of landmarks at each patient assessment to detect any changes.

Question 2

The school nurse is teaching a group of middle school students how to prevent tinea pedis. Which remark by a student provides evidence of learning?

a. I can contract the infection by walking barefoot in the gymnasium's showers.
b. The best way to avoid contracting the infection is to use good handwashing.
c. Wearing unventilated shoes prevents the fungus from gaining contact with my feet.
d. There is really no way to prevent its spread; it's highly contagious.

LVPMS · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A, C
Auscultate in an orderly fashion starting in the aortic area and moving gradually through each landmark. The mnemonic of A-P-T-M can be used. The nurse should listen carefully at each site to each component of the heart sound. Additionally, the diaphragm is used to auscultate high-pitched sounds that normally occur in the heart, lungs, and abdomen. The bell is used to auscultate low-pitched sounds such as extra heart sounds, murmurs, or bruits.

Answer to Question 2

A
One can contract the infection by walking barefoot in public showers, such as those in the school's gymnasium. Good handwashing does not prevent a person from contracting tinea pedis. Wearing unventilated shoes may actually aggravate the infection by allowing moisture to accumulate in the shoes. Although the infection is highly contagious, the spread of infection can be prevented by wearing special footwear in the shower.