Health Promotion and Maintenance
65. Where is the best location for a nurse to auscultate a murmur created by pulmonic stenosis?
Health Promotion and Maintenance
65. Where is the best location for a nurse to auscultate a murmur created by pulmonic stenosis?
Test-Taking Tip
Since the defect involves the pulmonary artery, visualize the heart's anatomy as it sits in the chest and place the stethoscope closest to the pulmonary artery.
Content Area: Child Health, Cardiovascular; Integrated Process: Nursing Process, Assessment; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/System Specific Assessments
Health Promotion and Maintenance
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Answer 1 is incorrect because the apical area is a better location to listen for mitral valve clicks. Answer 2 is incorrect because the lower left sternal border is a better location to listen for the murmur of a ventricular septal defect. Answer 3 is correct because the pulmonic area, located at the upper left sternal border, is directly over the pulmonary artery, making the murmur best heard at this location. Answer 4 is incorrect because the upper right sternal border is a better location to hear aortic valve clicks.
