LVN Fundamentals CMS Midter Terms in this set (20 Study guides, Class notes & Summaries
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LVN Fundamentals CMS Midterm Terms in this set (200) 2023/2024)
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LVN Fundamentals CMS Midterm Terms in this set (200) 
2023/2024) 
A nurse is assessing the heart sounds of a client who has developed chest pain that becomes 
worse with inspiration. 
The nurse auscultates a high- pitched scratching sound during both systole and diastole with the 
diaphragm of the stethoscope positioned at the left sternal border. 
Which of the following heart sounds should the nurse document? 
A. Audible Click 
B. Murmur 
C. Third heart sound 
D. Pericardial friction rub 
A nur...
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