A Patient with SLE Has Come to the Clinic for a Routine

A patient with SLE has come to the clinic for a routine check-up. When auscultating the patients apical heart rate, the nurse notes the presence of a distinct scratching sound. What is the nurses most appropriate action?

A) Reposition the patient and auscultate posteriorly.
B) Document the presence of $\mathrm{S}_{3}$ and monitor the patient closely.
C) Inform the primary care provider that a friction rub may be present.
D) Inform the primary care provider that the patient may have pneumonia.