WorksheetsQuiz on Pericarditis
Total questions: 17
Worksheet time: 9mins
Where is the friction rub most prominent?
Right upper sternal border
Left lower sternal border
Middle of the back
Right lower sternal border
A 45-year-old patient presents to the emergency department with chest pain, which is worse when lying flat and improves when leaning forward. On examination, the nurse notes a friction rub at the left lower sternal border. Which of the following diagnostic criteria should the nurse expect to be present for a diagnosis of acute pericarditis?
Elevated troponin levels and new ST elevation in all ECG leads
Presence of pericardial rub and new ST elevation in all ECG leads
Elevated ESR and a new or worsening pericardial effusion
Presence of pericardial rub and decreased WBC count
A patient with pericarditis is experiencing persistent symptoms despite being on NSAIDs. What should the nurse anticipate as the next step in management if the patient’s condition does not improve?
Immediate initiation of anticoagulant therapy
Scheduling for pericardiocentesis to relieve pericardial effusion
Referral for a pericardiectomy to remove the pericardium
Introduction of colchicine or corticosteroids to manage more severe symptoms
What type of agents should be provided as prescribed to a patient with chest discomfort?
Antibiotic agents
Anti-inflammatory agents
Antiviral agents
Antifungal agents
A patient with infective endocarditis has been treated with intravenous antibiotics for 1 week but remains symptomatic. Which of the following statements would be an appropriate response made by the nurse?
"You can pause your course of treatment and discuss surgical interventions with your doctor"
"This course of treatment last 4-6 weeks. The antibiotic needs time to effectively work"
"IV Antibiotic therapy is a 10 day course. We still have a few days left for it to effectively work"
"I will discuss with your doctor to switch over to Erythromycin"
How long does it usually take for anti-inflammatory agents to increase comfort?
24 hours
48 hours
72 hours
96 hours
Which organisms are most commonly responsible for infective endocarditis?
Streptococcus viridians and Staphylococcus aureus
Escherichia coli and Pseudomonas aeruginosa
Mycobacterium tuberculosis and Bacillus anthracis
Clostridium difficile and Helicobacter pylori
What is destroyed as the vegetative lesion grows?
The myocardium and pericardium
The endocardium and valve
The epicardium and myocardium
The pericardium and epicardium
During a routine check-up, a nurse notes that a patient with infective endocarditis has developed new Osler nodes on their hands. What is the most appropriate nursing intervention?
Recommend over-the-counter pain relief for the discomfort
Ensure that blood cultures are collected to monitor for ongoing infection
Educate the patient that Osler nodes are not a cause for concern and will resolve on their own
Prepare the patient for immediate surgical intervention
Which of the following is a diagnostic criterion for pericarditis?
New or worsening pericardial effusion
Elevated heart rate
High cholesterol levels
Increased white blood cell count
A patient with chronic constrictive pericarditis reports increasing fatigue and dyspnea. On examination, the nurse notes JVD and hypotension. Which of the following findings on a chest X-ray would be most indicative of chronic constrictive pericarditis?
Cardiomegaly and pleural effusion
Normal heart size and thickened pericardium
Enlargement of the cardiac silhouette with pericardial effusion
Fibrous thickening of the pericardium with a calcified pericardial sac
A patient is diagnosed with chronic constrictive pericarditis. Which of the following findings is most indicative of this condition?
Widespread ST segment elevation on ECG
Pericardial friction rub heard on auscultation
Rigid pericardium preventing adequate filling of the ventricles
Elevated ESR and CRP levels in the blood
A patient with rheumatic endocarditis is prescribed penicillin as the treatment. Upon reviewing the patient’s chart, you notice that the patient has a documented allergy to penicillin. Which of the following medications would be an appropriate alternative for this patient?
Azithromycin
Vancomycin
Clindamycin
Erythromycin
Which medications should be avoided to prevent the possibility of tamponade?
Antibiotics and antivirals
Antifungals and antivirals
Aspirin and anticoagulants
Antihistamines and decongestants
A nurse is providing care for a patient with acute pericarditis. Which of the following interventions should the nurse implement to manage the patient's pain effectively?
Position the patient supine and provide analgesics
Encourage the patient to maintain a high Fowler's position and administer NSAIDs
Assist the patient to a sitting position leaning forward and provide anti-inflammatory agents
Administer anticoagulants and encourage deep breathing exercises
Which of the following is NOT part of Beck's Triad?
A) Low blood pressure
B) Distension of jugular veins
C) Muffled heart sounds
D) High cholesterol
A nurse is assessing a patient with a history of infective endocarditis who has recently developed a new cardiac murmur. What is the most important nursing intervention in this situation?
Prepare the patient for immediate surgical intervention
Ensure that blood cultures are drawn before starting any new antibiotics
Administer anticoagulants to prevent further embolic events
Document the new murmur and monitor for changes in vital signs
