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cristiik cristiik
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6 years ago
A nurse is listening to a school-age child's heart sounds and hears an abnormal noise after S2 that is heard best when the child is lying in the left lateral position. What action by the nurse is most appropriate?
 
  A.
  Arrange a cardiology consult.
  B.
  Document the findings in the chart.
  C.
  Notify the provider immediately.
  D.
  Perform assessments for fluid balance.
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#1
6 years ago
ANS: B
This sound is an S3 and is often heard in children and young adults. It is usually a benign finding but should be documented in the chart. A cardiology consult is not needed, nor does the nurse need to notify the provider immediately. Because this sound is not usually associated with heart disease, the nurse does not need to perform an assessment of fluid balance.
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