Which findings are typical associated with pericarditis?

Prepare for the ANCC Adult–Gerontology Acute Care Nurse Practitioner Certification Test. Study with flashcards and multiple choice questions, each comes with hints and explanations. Ace your exam!

Sharp chest pain that worsens with inspiration is indeed a classic symptom of pericarditis. This type of pain is often described as being pleuritic, meaning it is aggravated by deep breaths or coughing. The pain may also improve when the patient leans forward, a position that can relieve pressure on the inflamed pericardium. The inflammatory process that characterizes pericarditis can irritate the pleura and contribute to the somatic pain mechanism, leading to the characteristic sharp, stabbing chest pains.

While the other options describe various cardiovascular issues, they do not align as closely with the hallmark signs of pericarditis. Diastolic murmurs and S3 heart sounds are typically associated with heart failure or volume overload rather than the inflammation seen in pericarditis. Heart block and bradycardia can occur in some cases of pericarditis, especially if there is associated inflammation affecting the electrical conduction system, but this is not a typical presenting symptom. Elevated troponin levels indicating myocardial injury would not be expected in isolated pericarditis unless there is concurrent myocardial involvement, which can complicate the clinical picture but does not represent the primary symptoms of the condition.

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