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Here's your guide to the key auscultation areas:
• Aortic: 2nd right intercostal space
• Pulmonic: 2nd left intercostal space
• Erb's Point: 3rd left intercostal space
• Tricuspid: 4th left intercostal space
• Mitral/Apex: 5th left intercostal space, midclavicular line

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S1 (lub): Closure of mitral and tricuspid valves
S2 (dub): Closure of aortic and pulmonic valves
Normal rhythm is 'lub-dub'
Timing: S1 coincides with carotid pulse
Best heard with diaphragm of stethoscope

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Auscultation of Heart Sounds | Assessing Heart Sounds | Listening to the Heart with a Stethoscope

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Key abnormal findings:
• Murmurs: Whooshing sounds between S1 and S2
• S3: Extra sound after S2 ('Kentucky')
• S4: Extra sound before S1 ('Tennessee')
• Rubs: Scratching leather-like sound
Document location, timing, and characteristics

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Anterior chest:
• 2nd intercostal space on both sides
• 4th-6th intercostal spaces
Posterior chest:
• Upper, middle, and lower lobes
• Compare side to side
Listen through at least one full respiratory cycle

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Complete Breath sounds: Normal/Abnormal Lung Sounds, Types & Conditions

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Complete Breath sounds: Normal/Abnormal Lung Sounds, Types & Conditions

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Complete Breath sounds: Normal/Abnormal Lung Sounds, Types & Conditions

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Adventitious (abnormal) sounds:
• Crackles: Fine or coarse popping sounds
• Wheezes: Musical, high-pitched sounds
• Rhonchi: Low-pitched gurgling sounds
• Pleural friction rub: Grating sound
Note timing (inspiration vs. expiration) and location

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Lung Sounds Made Easy Nursing | Rhonchi, Stridor, Wheeze, Crackles, Pleural Friction Rub NGN NCLEX

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This quiz will test your knowledge on lungs sounds. You will be tested on your knowledge about specific lung sounds and have to identify them when heard.

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This quiz will test you on lung sounds. In this quiz, you must be about to identify audio segments of specific breath sounds along with being able to answer certain questions regarding the characte…

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Test your ability on how well you know the location of heart sounds and the causes of extra heart sounds!

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Lung Sounds & Auscultation Practice Questions with Answers and NCLEX® Review

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Lung Sounds & Auscultation Practice Questions with Answers and NCLEX® Review

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Lung Sounds & Auscultation Practice Questions & NCLEX Review

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Free Lung Sounds & Auscultation NCLEX practice questions with answers. Get essential insights, videos, and study material for topical mastery. Learn more.

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Fundamentals of Nursing – Respiratory Assessment

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Fundamentals of Nursing – Respiratory Assessment

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Fundamentals of Nursing - Respiratory Assessment - Straight A Nursing

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In this article you’ll learn the basics of what goes into a nursing respiratory assessment, which relies heavily on what you see and hear.

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Cardiac Assessment Tips - Straight A Nursing

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Review how to complete a focused cardiac assessment which is indicated on patients with a known cardiac history or suspected cardiac issue.

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This article will explain how to assess the abdomen as a nurse.

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This article will explain how to assess the abdomen as a nurse. This assessment is part of the nursing head-to-toe assessment you have to perform in nursing school and on the job.

During the abdominal assessment you will be:

Inspecting

Auscultating

Palpating/Percussing

Video Demonstration on a Nursing Abdominal Assessment

Abdomen:
Switches to Inspection, Auscultation, Percussion, and Palpation

Have patient lay supine

Ask patient about their last about bowel movement and if they have any problems with urination. If a female patient, ask when their last menstrual period was.
If an ostomy is present note the type of ostomy, stoma color (should be pink and shiny), consistency and color of stool?

Inspect:

Stomach contour scaphoid, flat, rounded, protuberant?

Noted pulsations at the aorta (noted in thin patients): The aortic pulsation can be noted above the umbilicus.

Characteristics of the navel (invert or everted)

Masses (check for hernia after auscultation), PEG tube?

Auscultate with the diaphragm for bowel sounds:

start in the RIGHT LOWER QUADRANT and go clockwise in all the 4 quadrants

should hear 5 to 30 sounds per minute...if no, bowel sounds are noted listen for 5 full minutes

Documents as: normal, hyperactive, or hypoactive

Auscultate for bruits (vascular sounds) at the following locations using the BELL of the stethoscope:

Aorta: slightly below the xiphoid process midline with the umbilicus

Renal Arteries: go slightly down to the right and left at the aortic site

Iliac arteries: go few a inches down from the belly button at the right and left sides to listen

Femoral arteries: found in the right and left groin.

Check for hernia: have patient raise up a bit and look for hernia (at stomach area or navel area)
Palpation of the abdomen:

Light palpation (2 cm): should feel soft with no pain or rigidity

Deep palpation (4-5 cm): feel for any masses, lumps, tenderness

Complete nursing head-to-toe assessment

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This article will explain how to assess the abdomen as a nurse. This assessment is part of the nursing head-to-toe assessment you have to perform in nursing school and on the job. During the abdomi...

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Physical Exam of the Abdomen | Health Assessment for Nursing Students

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Physical Exam of the Abdomen | Health Assessment for Nursing Students

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Physical Exam of the Abdomen | Health Assessment for Nursing Students

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Nine Abdominal Regions and Four Quadrants Quiz

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Nine Abdominal Regions and Four Quadrants Quiz

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Nine Abdominal Regions and Four Quadrants Quiz

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This abdominal regions and quadrants quiz will test your knowledge on the nine abdominal regions and the four abdominal quadrants of the body for anatomy and physiology courses. It’s importan…