The nurse is explaining to the student nurses the different heart sounds that are assessed during the cardiac assessment. Which statement made by a student indicates understanding of the expected normal heart sounds?
1. If I hear the S1 as lub and S2 as dub, then that is normal and means that the valves are working.
2. If I hear a 'lub-dub-ee' it means the client has a ventricular gallop.
3. If I hear 'dee-lub-dub' then the client may have an atrial gallop. This occurs near the very end of diastole just before S1 and creates the sound.
4. If I hear the 'dee-lub-dub' sound in an older adult, then I should know that is considered normal for the older client.
Question 2
The nurse is explaining to the client the need to do a more detailed assessment. This type of assessment involves obtaining which type of information?
1. Information regarding the client's overall assessment
2. Information of a specific medical condition
3. Information specific to the client's current condition
4. Information regarding past medical history