During a cardiovascular assessment, the nurse knows that a thrill ...

[ahriuashd]

During a cardiovascular assessment, the nurse knows that a thrill is:
 
  a. Vibration that is palpable.
  b. Palpated in the right epigastric area. c.
  Associated with ventricular hypertrophy.
  d. Murmur auscultated at the third intercostal space.

Question 2

During a cardiovascular assessment, the nurse knows that an S4 heart sound is:
 
  a. Heard at the onset of atrial diastole.
  b. Usually a normal finding in the older adult.
  c. Heard at the end of ventricular diastole.
  d. Heard best over the second left intercostal space with the individual sitting upright.

[Natalie4ever]

Answer to Question 1

ANS: A
A thrill is a palpable vibration that signifies turbulent blood flow and accompanies loud murmurs. The absence of a thrill does not rule out the presence of a murmur.

Answer to Question 2

ANS: C
An S4 heart sound is heard at the end of diastole when the atria contract (atrial systole) and when the ventricles are resistant to filling. The S4 occurs just before the S1.

[ahriuashd]

Excellent

[parshano]

TYSM