Question

The client is diagnosed with pericarditis. When assessing the client, the nurse is unable to auscultate a friction rub. Which action should the nurse implement?

a. Notify the HCP.
b. Document that the pericarditis has resolved.
c. Ask the client to lean forward and listen again.
d. Prepare to insert a unilateral chest tube.

Answer 1

The nurse should notify the HCP when unable to auscultate a friction rub in a client diagnosed with pericarditis.

Step-by-step explanation:

The nurse should notify the HCP when unable to auscultate a friction rub in a client diagnosed with pericarditis. A friction rub is a classic physical finding in pericarditis, characterized by a grating or scratching sound. The absence of a friction rub may indicate improvement or resolution of the condition, but it could also be due to other factors such as the position of the client or the skill of the nurse. Therefore, it is important to inform the healthcare provider to ensure appropriate follow-up and evaluation.