Your patient has been diagnosed with heart failure. During your assessment you note that the patient has pitting edema, shortness of breath and which heart sound?

 

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Correct

- Rubbing

- Swooshing

- Clicking

- Gallop

Rationale

When listening to heart sounds, if you hear a rubbing noise, it means there is inflammation in the pericardium (pericarditis). Clicks are often heard with mitral valve prolapse or aortic stenosis (and also someone with a prosthetic valve). Murmurs make a swooshing sound. If you hear a gallop sound (S3) you are hearing the blood prematurely rushing into the ventrical which can be from either pulmonary hypertension, heart failure or coronary artery disease.

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