A client is experiencing chest pain and the client's inflammatory markers are elevated. The nurse is worried about the client having pericarditis. What heart sound would the nurse expect to hear if the client does have pericarditis?
a. Swooshing
b. Rubbing
c. Gallop
d. Clicking
b. Rubbing
rationale: Rubbing indicates the presence of inflammation in the pericardium, such as in pericarditis. Swooshing sounds indicate murmurs, which are evidence of valvular disease (stenosis or regurgitation). Clicks are often heard with mitral valve prolapse or aortic stenosis, or can be heard in someone with a prosthetic valve.If a gallop sound (S3) is heard, this indicates blood prematurely rushing into the ventricle. This is often related to volume overload as seen in heart failure, but could also be caused by pulmonary hypertension or coronary artery disease.
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