A patient is admitted with acute pericarditis. When auscultating heart sounds, t

colleen

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11 years ago

A patient is admitted with acute pericarditis. When auscultating heart sounds, t

A patient is admitted with acute pericarditis. When auscultating heart sounds, the nurse should ask the patient to do which of the following?
1. Sit, lean forward, and auscultate at the left lower sternal border.
2. Lay supine and breathe quietly while auscultating for expiratory wheezes.
3. Sit upright and auscultate the outer aspects of the upper lobes for vesicular breath sounds.
4. Sit, lean forward, and auscultate at the second right intercostal space, near the sternal border.

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Kassie

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11 years ago

1. Sit, lean forward, and auscultate at the left lower sternal border.

You need to be in the sitting position when your apical pulse is being taken and leaned forward so the heart can be heard best. The hearts pulse is best heard on the left side of your body at the left lower sternum (Erb's Point) where the tricuspid valve opens and closes, all correct.

The patient should not be laying down, not should can the heart be auscultated at the right intercostal space.

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whipp224

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robertling

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11 years ago

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. The rub is usually heart on expiration and may be constant or intermittent. Auscultating lung sounds for expiratory wheezes and vesicular breath sounds is done, but does not focus on the pericardial friction rub.

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