Indicate the best location where the nurse would auscultate a murmur in a client who presents with orthopnea, peripheral cyanosis, and a narrow pulse pressure. Select your answer by clicking the desired location on the image below. To move a pin, click another location on the image. To remove a pin, click it once

Aortic area: Aortic Stenosis. Key findings: Orthopnea Peripheral cyanosis Narrow pulse pressure These are classic findings of Aortic Stenosis. Obstruction of left ventricular outflow Decreased stroke volume Narrow pulse pressure (low systolic output) Pulmonary congestion - orthopnea Poor systemic perfusion - cyanosis The best auscultation Site is the 2nd intercostal space, right sternal border (Aortic valve area) It is typically: Harsh, systolic and may radiate to the carotid arteries