A patient is admitted with acute pericarditis. When auscultating heart sounds, the nurse should ask the patient to assume which position?
1. Sit leaning forward
2. Lie supine
3. Sit upright
4. Lie on the left side
1
Rationale 1: Pericardial friction rub is the characteristic sign of pericarditis and can be heard best at the left lower sternal border when the patient is sitting and leans forward.
Rationale 2: The supine position does not enhance the nurse's ability to hear a pericardial friction rub, the characteristic sign of pericarditis.
Rationale 3: The upright position does not enhance the nurse's ability to hear a pericardial friction rub, the characteristic sign of pericarditis.
Rationale 4: Positioning the patient on the left side does not enhance the nurse's ability to hear a pericardial friction rub, the characteristic sign of pericarditis.
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