During the cardiac assessment of a client, the nurse hears a loud rumbling during diastole that increases toward the end of the sound. This sound is heard with the bell of the stethoscope over the lower left sternal border. Based on this data, which diagnosis does the nurse anticipate?

Question

Quizplus · Accepted Answer

The description of a loud rumbling sound during diastole that increases toward the end, heard best at the lower left sternal border with the bell of the stethoscope, is indicative of tricuspid stenosis. This condition involves narrowing of the tricuspid valve, which leads to a characteristic murmur heard during diastole as the right atrium contracts to fill the right ventricle.

During the Cardiac Assessment of a Client, the Nurse Hears