The auscultation of a triphasic friction rub in a patient with acute chest pain should lead you to suspect:
a. congestive heart failure.
b. pericarditis.
c. endocarditis.
d. cardiac tamponade.
B
Chest pain is the usual initial symptom in acute pericarditis, which is the inflammation of the pe-ricardium. The key physical finding is the triphasic friction rub, which is comprised of ventricular systole, early diastolic ventricular filling, and late diastolic atrial systole. It is heard just to the left of the sternum in the third and fourth intercostal spaces and is characteristically scratchy. The auscultation of a triphasic friction rub in a patient with acute chest pain should not lead you to suspect congestive heart failure, endocarditis, or cardiac tamponade.
You might also like to view...
A client has talked constantly throughout the group therapy session. She has repeated the same
material several times. Other members were initially attentive, then became bored, inattentive, and finally angry. Which intervention would be most effective for the nurse psychotherapist to take? a. Asking the group why they have permitted the client to take up their time with her repetitions b. Asking the group members how they felt when the client repeated herself throughout the session c. Mentioning that the group seems withdrawn and uninterested d. Telling the client she must allow others to have an opportunity to speak
A group of nursing students is giving a presentation to classmates on adaptive and maladaptive responses to stress
When talking about assessing coping strategies in patients, the nursing students discuss the use of drugs and alcohol to reduce stress. What is most important for the students to point out about these coping behaviors? A) They are effective coping behaviors. B) They do not really reduce stress in the body. C) They are adaptive behaviors. D) They increase the risk of illness.
The nurse realizes that the concern in a fee-for-service health reimbursement system is that the client will:
a. receive only preventive care. b. have only critical surgeries. c. not be referred to specialists. d. have too many unnecessary procedures and tests.
An excessive use of magnesium-containing antacids and aluminum-containing antacids can result in:
a. Hypomagnesemia b. Hypophosphatemia c. Hyponatremia d. Hypokalemia