The nurse completes auscultation of the heart on an older adult client. Which finding is considered normal for this client?
Explanation & Rationale
A. While some older adults may have physiologic or benign murmurs, murmurs are not considered universally normal and require further assessment to rule out pathology. B. Absent heart sounds would be abnormal and could indicate severe underlying issues such as cardiac arrest or severe hypovolemia. C. A normal heart auscultation in an older adult includes S1 and S2 heart sounds without extra or abnormal sounds. While some older adults may develop benign murmurs due to age-related changes in valve structure, the absence of abnormal or adventitious sounds (such as S3, S4, or pathological murmurs) is considered a normal finding. D. Adventitious sounds (such as crackles or wheezes) are not normal in heart auscultation and would suggest potential pathologies.