Pericardial friction rub - Study guides, Class notes & Summaries

A nurse is assessing the heart sounds of a client who has developed chest pain that becomes worse with inspiration. The nurse auscultates a high-pitched scratching sound during both systole and diastole with the diaphragm of the stethoscope positioned at the left sternal border. Which of the following heart sounds should the nurse document? A. Audible Click B. Murmur C. Third heart sound D. Pericardial friction rub Correct Ans - D) Pericardial friction rub A nurse is obtaining the blood pre...

pericarditis Hallmark Sign? - Answer inflammation of the pericardium, from an infection, Hallmark sign is *friction rub* Sit up and lean forward for pain. No coughing or laying down. Cardiac Tamponade What are the 3 signs? - Answer - Acute compression of the heart caused by fluid accumulation in the pericardial cavity. - Life threatening as it depletes cardiac output Becks triad: 1. Hypotension 2. Muffled heart sounds 3. Neck vein distension Signs of a DVT - Answe...

A nurse is assessing the heart sounds of a client who has developed chest pain that becomes worse with inspiration. The nurse auscultates a high-pitched scratching sound during both systole and diastole with the diaphragm of the stethoscope positioned at the left sternal border. Which of the following heart sounds should the nurse document? - Audible click - Murmur - Third heart sound - Pericardial friction rub Pericardial friction rub:

how is pericarditis, endocarditis, myocarditis, and rheumatic acquired Correct Answer-from IV drug use, artificial valves, bacteria, viruses, foreign objects in the heart what is pericarditis Correct Answer-inflammation of the pericardium, which surrounds the heart what are some subjective symptoms of pericarditis Correct Answer-sharp pain over the sternum, radiating to the back, neck, shoulders and arms, worse pain with deep inspiration- may be relieved by sitting up, difficulty breathing...

Mid systolic murmur that radiates to left sternal border with a medium pitch; a coarse thrill is palpated as well? - Correct answer-Aortic stenosis During percussion, the patient holds his or her arms in front in order to? - Correct answer-Expose maximum lung area List 2 HPI questions for Chest pain - Correct answer-1. does the pain radiate to the arm or jaw 2. Are there associated symptoms such as SOB, sweating or N/V List 2 patient educations regarding sun exposure - Correct answer-1. A...

Which of the following would be the earliest auscultatory finding in left ventricular failure (LVF)? A. Crackles B. S3 C. Murmur of mitral regurgitation D. Pericardial friction rub B. S3

1. While auscultating the client's heart at the third intercostal space and on the left sternal border, the nurse notes a high-pitched, scratchy sound that increases with exhalation with the client leaning forward. The nurse should document which of the following? A) Pericardial friction rub B) Midsystolic click C) Summation gallop D) Aortic ejection click - Answer A) Pericardial friction rub The anterior chest area that overlies the heart and great vessels - Answer precordium 2...

Which of the following would be the earliest auscultatory finding in left ventricular failure (LVF)? A. Crackles B. S3 C. Murmur of mitral regurgitation D. Pericardial friction rub - B. S3 LVF would be the most subtle because early changes are usually subtle changes. Choose "S3." A patient with a triple-lumen subclavian catheter has been receiving total parenteral nutrition, maintenance fluids, and antibiotics by the catheter. He has been slightly confused. Suddenly he grasps the cat...

Ehler Danlos Syndrome puts patients at high risk for what? Ans- Aortic aneurysm and dissection Jervell and Lange-Nielsen syndrome puts patients at high risk for what? Ans- Long QT Initial defibrillation dose for pediatric patient Ans- 2 joules per kg then 4 joules, increasing up to 10 joules Signs of endocarditis Ans- Janeway lesions- petechial lesions on palms/soles of feet Osler's nodes- painful fingertip lesions Roth's spots- retinal hemorrhages How to decrease pulmonary congestio...

MCN 568 Respiratory Study Guide What are the 4 types of pulmonary air leaks? Pneumothorax, pneumomediastinum, pulmonary interstitial emphysema (PIE), and pneumopericardium What condition is characterized by the clinical presentation of acute respiratory distress, and distant or absent breath sounds on one side, with tracheal deviation to the opposite side? Pneumothorax What type of pulmonary air leak is often asymptomatic but can cause subcutaneous emphysema in the supraclavicular notch, neck, ...