When listening to a patient’s heart sounds, the nurse notes that the first heart sound is followed by a high-pitched, holosystolic murmur heard best at the apex. The murmur sounds like it is radiating to the patient’s axilla. What does this murmur most likely indicate?

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The Cardiac Medicine Certification (CMC) exam is designed for certified nurses currently practicing in areas such as CCU, combined ICU/CCU, medical ICU, telemetry, progressive care, heart failure clinics/home care, interventional cardiology, cardiac catheterization labs and/or electrophysiology units. Exam content: Since all eligible candidates must hold a clinical nursing specialty certification, the 90-item subspecialty exams concentrate solely on the Synergy Model component of Clinical Judgment. Although components such as patient teaching and collaboration are very important in providing... Show more

When listening to a patient’s heart sounds, the nurse notes that the first heart sound is followed by a high-pitched, holosystolic murmur heard best at the apex. The murmur sounds like it is radiating to the patient’s axilla. What does this murmur most likely indicate?