Which of the following are NOT typical signs and symptoms of pericarditis? (Select-all-that-apply)
(Select All that Apply.)
Fever
Mild chest pain
No evidence of fatigue
Myalgias
Pericardial friction rub
Radiating substernal pain felt in the left shoulder
Correct Answer : C,F
A. Fever: Fever is a common sign of pericarditis, often indicating inflammation or infection in the pericardial sac. This symptom is typical in patients with this condition.
B. Mild chest pain: Mild chest pain is a typical symptom of pericarditis. Patients often experience sharp, pleuritic chest pain that may worsen with inspiration or coughing.
C. No evidence of fatigue: Fatigue can be a common symptom in patients with pericarditis due to the body's response to inflammation. Therefore, the absence of fatigue is not typical, making this an appropriate choice.
D. Myalgias: Myalgias or muscle aches can occur in pericarditis as part of the systemic inflammatory response. This symptom is not unusual in patients with this condition.
E. Pericardial friction rub: A pericardial friction rub is a characteristic finding in pericarditis, heard during auscultation. It results from the movement of inflamed pericardial layers against each other.
F. Radiating substernal pain felt in the left shoulder: This type of radiating pain is more characteristic of myocardial ischemia or angina rather than pericarditis. While pericarditis can cause chest pain, it does not typically radiate in the same manner as that seen in cardiac conditions, making this an appropriate choice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. We will have to drain the pus out of your pleural space: An empyema is characterized by the accumulation of pus in the pleural space, typically due to infection or inflammation. The primary treatment often involves draining the infected fluid to relieve symptoms and treat the underlying infection, making this statement accurate and appropriate for the patient.
B. These blebs in your lungs can rupture with exercise: This statement is not applicable to empyema. Blebs are associated with conditions like pulmonary bullae or emphysema, not empyema. Empyema specifically refers to pus in the pleural space, not blebs in the lungs.
C. You will be given a long course of antiviral medication: Antiviral medication is not typically indicated for empyema, as it is often caused by bacterial infections. Treatment usually involves antibiotics and drainage rather than antiviral therapy.
D. We will watch you for respiratory muscle fatigue: While monitoring for respiratory status is important in any patient with empyema, this statement does not specifically address the nature of empyema or its treatment. The focus should be on managing the infection and drainage of the pleural space.
Correct Answer is A
Explanation
A. Myocardial infarction: Myocardial infarction involves the irreversible damage to the heart muscle due to prolonged ischemia, typically resulting from the occlusion of a coronary artery. The lack of oxygen and nutrients leads to cell death in the affected area of the heart, causing permanent damage.
B. Myocardial stunning: Myocardial stunning refers to a temporary reduction in the heart's function following reperfusion after a period of ischemia. The heart muscle may regain function over time, and this condition does not cause irreversible damage.
C. Stable angina: Stable angina is characterized by transient chest pain due to reversible ischemia, usually triggered by physical exertion or stress. The ischemic episodes do not lead to irreversible damage to the heart muscle, as blood flow is restored when the trigger is removed.
D. Unstable angina: Unstable angina involves episodes of chest pain that occur at rest or with minimal exertion and may signal an impending myocardial infarction. While it indicates a high risk of myocardial infarction, it does not cause irreversible damage to the heart muscle itself unless it progresses to an infarction.
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