A 28-year-old presents to the ER reporting severe chest pain that ...

[humphriesbr@me.com]

A 28-year-old presents to the ER reporting severe chest pain that worsens with respirations or lying down. Other signs include a fever, tachycardia, and a friction rub. Assessment findings support which medical diagnosis?
 
  a. Acute pericarditis
  b. Myocardial infarction (MI)
  c. Stable angina
  d. Pericardial effusion

Question 2

Many valvular stenosis and regurgitation disorders in adults have a common etiology. Which of the following conditions should alert the nurse that the patient may have both types of valve dysfunctions?
 
  a. Heart failure
  b. Connective tissue disorders
  c. Rheumatic fever or heart disease
  d. Syphilis infection

[ynlevi]

Answer to Question 1

ANS: A
Severe chest pain that worsens with respirations or lying down in a patient with fever, tachycar-dia, and a friction rub is characteristic of acute pericarditis. MI pain does not worsen with respi-rations. Stable angina does not worsen with respiration or lying down. Pericardial effusion is not manifested by these symptoms.

Answer to Question 2

ANS: C
Valvular dysfunction is often related to rheumatic fever. Heart failure decreases cardiac output but does not affect valvular function. It is not due to connective tissue disorders. Syphilis infec-tion could affect valves, but it is not the most common cause.

[humphriesbr@me.com]

TYSM

[dantucker]

Thanks for the timely response, appreciate it