The nurse caring for a patient with coronary artery disease hears ...

[AEWBW]

The nurse caring for a patient with coronary artery disease hears a murmur during auscultation of the heart. What should the nurse suspect is occurring in this patient?
 
  1. valvular heart disease
  2. pericarditis
  3. cardiac tamponade
  4. heart failure

Question 2

A patient is diagnosed with cardiac tamponade. What treatment should the nurse expect to be prescribed for this patient?
 
  1. antidysrhythmic drugs and oxygen
  2. oxygen and rest
  3. pericardiocentesis
  4. antibiotics

[rnehls]

Answer to Question 1

Correct Answer: 1
Valvular heart disorders interfere with the smooth flow of blood through the heart. The flow becomes turbulent, causing a murmur, a characteristic manifestation of valvular disease. The heart sound characteristic of pericarditis is a pericardial friction rub. Distant and muffled heart sounds are typical of cardiac tamponade. Extra heart sounds S3 and S4 are heard in heart failure.

Answer to Question 2

Correct Answer: 3
When cardiac tamponade occurs, it is considered a medical emergency. Pericardiocentesis is performed to removed fluid or blood that has collected around the heart and is preventing the heart from pumping effectively. Antidysrhythmic drugs, oxygen, rest, and antibiotics may be indicated after the pericardiocentesis is performed.

[AEWBW]

Excellent

[diana chang]

Thanks for the timely response, appreciate it