A patient reports that he has coronary artery disease with ventricular hypertrophy. Based on these data, what finding should the nurse expect during assessment?
A) S4 heart sound
B) Clubbing of fingers
C) Splitting of the S1 heart sound
D) Pericardial friction rub

Question

Quizplus · Accepted Answer

An S4 heart sound signifies a noncompliant or stiff ventricle. Coronary artery disease is a major cause of a stiff ventricle. Clubbing of fingers occurs due to chronic hypoxia rather than a stiff ventricle. Splitting of the S1 heart sound indicates a valve problem rather than ventricular hypertrophy. When the mitral and tricuspid valves do not close at the same time, S1 sounds as if it were split into two sounds instead of one. Pericardial friction rubs are caused by inflammation of the layers of the pericardial sac.

A Patient Reports That He Has Coronary Artery Disease with Ventricular