Author Question: While auscultating heart sounds, the nurse hears a murmur. Which of these instruments should be used ... (Read 146 times)

haleyc112 · **on:** Jun 25, 2018

While auscultating heart sounds, the nurse hears a murmur. Which of these instruments should be used to assess this murmur?

a. Electrocardiogram
b. Bell of the stethoscope
c. Diaphragm of the stethoscope
d. Palpation with the nurse's palm of the hand

Question 2

During an examination of a patient's abdomen, the nurse notes that the abdomen is rounded and firm to the touch. During percussion, the nurse notes a drumlike quality of the sounds across the quadrants. This type of sound indicates:

a. Constipation.
b. Air-filled areas.
c. Presence of a tumor.
d. Presence of dense organs.

Tabitha_2016 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
The bell of the stethoscope is best for soft, low-pitched sounds such as extra heart sounds or murmurs. The diaphragm of the stethoscope is best used for high-pitched sounds such as breath, bowel, and normal heart sounds.

Answer to Question 2

ANS: B
A musical or drumlike sound (tympany) is heard when percussion occurs over an air-filled viscus, such as the stomach or intestines.