A nurse is assessing a client who has pericarditis.<\/p>\n\n\n\n
In which of the following areas of the client’s chest should the nurse place the stethoscope to best hear a pericardial friction rub? (You will find hot spots to select in the artwork below.<\/p>\n\n\n\n
Select only the hot spot that corresponds to your answer.).<\/p>\n\n\n\n
A.
A<\/p>\n\n\n\n
B.
B<\/p>\n\n\n\n
C.
C<\/p>\n\n\n\n
D.
D<\/p>\n\n\n\n
The Correct Answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n Correct Answer:<\/strong> A.<\/p>\n\n\n\n A pericardial friction rub is best heard at the lower left sternal border, corresponding to the apex of the heart. This is represented by the “A” location in the provided options. Here’s why:<\/p>\n\n\n\n Pericarditis is an inflammation of the pericardium, which is the thin sac surrounding the heart. The inflammation can cause the layers of the pericardium to rub against each other, resulting in a distinct sound called a pericardial friction rub<\/strong>. This sound is often described as high-pitched, scratching, or grating. It occurs because of the friction between the inflamed visceral and parietal layers of the pericardium.<\/p>\n\n\n\n The sound of a pericardial friction rub is most commonly heard at the lower left sternal border<\/strong>, near the apex of the heart, which is why “A” is the correct location to place the stethoscope. This area is close to where the pericardium is in contact with the chest wall, allowing the nurse to best detect the friction sound. The client should be positioned either sitting up, leaning forward, or in the left lateral position to enhance the ability to hear the rub, as these positions bring the heart closer to the chest wall.<\/p>\n\n\n\n It\u2019s important to distinguish a pericardial friction rub from other heart sounds like murmurs or pleural friction rubs. The pericardial rub is often louder when the client breathes in, and it can be heard throughout the cardiac cycle, during both systole and diastole. Having the patient hold their breath can help differentiate the pericardial rub from lung-related sounds like pleural rubs, which will cease with breath-holding.<\/p>\n\n\n\n Thus, placing the stethoscope at the lower left sternal border (location “A”) is key for detecting a pericardial friction rub.<\/p>\n","protected":false},"excerpt":{"rendered":" A nurse is assessing a client who has pericarditis. In which of the following areas of the client’s chest should the nurse place the stethoscope to best hear a pericardial friction rub? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.). A.A B.B […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-137356","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137356","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=137356"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137356\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=137356"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=137356"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=137356"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Pericarditis and Pericardial Friction Rub<\/h3>\n\n\n\n
Best Auscultation Site for Pericardial Friction Rub<\/h3>\n\n\n\n
Differentiating from Other Sounds<\/h3>\n\n\n\n