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When assessing a patient with aortic valve stenosis, the nurse listens for which sound to detect a thrill?

a. Sustained thrust of the heart against the chest wall during systole
b. Visible sinking of the tissues between and around the ribs
c. Fine, palpable vibration felt over the precordium
d. Bounding pulse noted bilaterally

1 Answer

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Final answer:

A nurse assessing a patient with aortic valve stenosis listens for a fine, palpable vibration known as a thrill over the precordium, which is a sign of turbulent blood flow across the abnormal valve. Auscultation is crucial in detecting heart sound anomalies that signal conditions like hypertrophic cardiomyopathy and heart failure.

Step-by-step explanation:

When assessing a patient with aortic valve stenosis, the nurse listens for which sound to detect a thrill? The correct answer is a fine, palpable vibration felt over the precordium. This sensation, known as a thrill, is a tactile counterpart to the audible heart murmur that is caused by turbulent blood flow across the abnormal valve. Auscultation using a stethoscope is one of the most effective diagnostic techniques to assess the state of a patient's heart. In a healthy heart, there are only two audible heart sounds: S₁ and S₂, which correspond to the closing of the atrioventricular valves and the semilunar valves, respectively. However, conditions such as hypertrophic cardiomyopathy and heart failure can introduce additional heart sounds, such as S3 and S4, which are indicative of abnormal cardiac function.

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