This topic contains a solution. Click here to go to the answer

Author Question: A patient is admitted with acute pericarditis. When auscultating heart sounds, the nurse should ask ... (Read 64 times)

debasdf

  • Hero Member
  • *****
  • Posts: 570
A patient is admitted with acute pericarditis. When auscultating heart sounds, the nurse should ask the patient to perform which action?
 
  1. sit and lean forward while the nurse auscultates at the left lower sternal border
  2. lie supine and breathe quietly while the nurse auscultates for expiratory wheezes
  3. sit upright while the nurse auscultates the outer aspects of the upper lobes for vesicular breath sounds
  4. sit and lean forward while the nurse auscultates at the second right intercostal space, near the sternal border

Question 2

A patient is being discharged from the healthcare facility following surgical replacement of a mitral valve with a mechanical valve. The patient asks the nurse how much longer he will need to take warfarin (Coumadin). What is the nurse's best response?
 
  1. You will be on it for the rest of your life because you have a mechanical valve.
  2. That will depend on your surgeon. Ask her when you go to your office visit.
  3. You will be on it for the rest of your life because you have a biologic tissue valve.
  4. You will be told when to stop, usually when your mechanical prosthetic valve is healed and there is a minimal risk of clots.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

JCABRERA33

  • Sr. Member
  • ****
  • Posts: 344
Answer to Question 1

Correct Answer: 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. The rub is usually heard 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. Auscultating at the second right intercostal space near the sternal border will not help determine the presence of a pericardial friction rub.

Answer to Question 2

Correct Answer: 1
Long-term anticoagulation is necessary with a mechanical prosthetic valve, due to the risk of development of clots on the valve. Biologic tissue valves have a low risk of thrombus formation and long-term anticoagulation is rarely necessary. The nurse should address the patient's question.




debasdf

  • Member
  • Posts: 570
Reply 2 on: Jun 25, 2018
Gracias!


meganmoser117

  • Member
  • Posts: 303
Reply 3 on: Yesterday
Excellent

 

Did you know?

All adverse reactions are commonly charted in red ink in the patient's record and usually are noted on the front of the chart. Failure to follow correct documentation procedures may result in malpractice lawsuits.

Did you know?

The first monoclonal antibodies were made exclusively from mouse cells. Some are now fully human, which means they are likely to be safer and may be more effective than older monoclonal antibodies.

Did you know?

Children of people with alcoholism are more inclined to drink alcohol or use hard drugs. In fact, they are 400 times more likely to use hard drugs than those who do not have a family history of alcohol addiction.

Did you know?

The human body produces and destroys 15 million blood cells every second.

Did you know?

Certain chemicals, after ingestion, can be converted by the body into cyanide. Most of these chemicals have been removed from the market, but some old nail polish remover, solvents, and plastics manufacturing solutions can contain these substances.

For a complete list of videos, visit our video library