Medical Surgical Pericarditis #5

Question

A nurse auscultates the lungs and heart sound of a client and charts the finding of a pleural friction rub. The nurse reports this new finding immediately, understanding which condition is most associated with this finding?

Answers

  1. Heart failure
    • Rationale:

      This answer is not correct because lung sounds associated with heart failure are crackles, not a pleural friction rub.A very common finding with pericarditis is a pleural friction rub. A pleural friction rub has a scratching, grating sound similar to leather rubbing against leather.

  2. Asthma
    • Rationale:

      This answer is not correct because asthma often presents with wheezing lung sounds. A very common finding with pericarditis is a pleural friction rub. A pleural friction rub has a scratching, grating sound similar to leather rubbing against leather.

  3. Pericarditis
    • Rationale:

      This answer is correct because a very common finding with pericarditis is a pleural friction rub. A pleural friction rub has a scratching, grating sound similar to leather rubbing against leather.

  4. Endocarditis
    • Rationale:

      This answer is not correct because endocarditis can often present with a murmur, not a pleural friction rub. Nevertheless, a very common finding with pericarditis is a pleural friction rub. A pleural friction rub has a scratching, grating sound similar to leather rubbing against leather.

Overview

A very common finding with pericarditis is a pleural friction rub. A pleural friction rub has a scratching, grating sound similar to leather rubbing against leather.

Explanation

Learning Outcomes

Pericarditis is the inflammation of the membranous sac that surrounds the heart. A very common finding with pericarditis is a pleural friction rub. A pleural friction rub has a scratching, grating sound similar to leather rubbing against leather. There is acute pain associated with the inflammation of the pericardium. Pericarditis causes severe pain with rapid onset that worsens with breathing, coughing, and/or changing positions. Leaning forward can help alleviate the pain. Such pain prevents the ability to help respiratory efforts. It worsens as excessive accumulation of fluid in the pericardial sac occurs. The result is decreased stroke volume and compression of the heart. The client often fears they are experiencing a heart attack.

Test Taking Tip

Know what basic lung sounds are associated with which basic conditions, such as asthma (wheezing), heart failure (crackles), and pericarditis (pleural friction rub). These are very specific sounds associated with these conditions.

Video Rationale