While performing a physical assessment on an adult client, the nurse identifies an unfamiliar heart sound. The nurse suspects that this is a murmur. Which nursing action is most appropriate?

Question

Quizplus · Accepted Answer

Bringing in another examiner to confirm the finding will help validate the nurse's suspicion of a murmur and ensure an accurate assessment. Referring to the provider immediately may not be necessary if the murmur is benign or previously identified, and informing the client of an "abnormality" may cause unnecessary anxiety if the finding is not significant. Documenting the finding is appropriate but reassessing at the next visit may delay necessary follow-up or referral.

While Performing a Physical Assessment on an Adult Client, the Nurse