Question

a nurse is auscultating the heart sounds of a client who has developed chest pain that worsens with inspiration. the nurse hears a high - pitched scratching sound with the diaphragm of the stethoscope placed at the third intercostal space of the left sternal border. which of the following heart sounds should the nurse document? audible click murmur third heart sound pericardial friction rub

Explanation:

A pericardial friction rub is a high - pitched, scratching or grating sound heard best with the diaphragm of the stethoscope at the left sternal border, often in a client with chest pain that worsens with inspiration due to inflammation of the pericardium. An audible click is not described this way. A murmur is a swishing sound related to blood flow. The third heart sound is a low - pitched sound.

Answer:

D. Pericardial friction rub