This topic contains a solution. Click here to go to the answer

Author Question: The nurse is performing a cardiac assessment on an older adult client admitted with hypertension. ... (Read 81 times)

Zulu123

  • Hero Member
  • *****
  • Posts: 525
The nurse is performing a cardiac assessment on an older adult client admitted with hypertension. The nurse determines that the apical impulse can be palpated in an area 2 cm in diameter at the point of maximal impulse.
 
  Which conclusion by the nurse is appropriate based on this data?
  1. Left ventricular hypertrophy.
  2. Aortic stenosis.
  3. Right ventricular volume overload.
  4. Enlarged left atrium.

Question 2

The nurse is reviewing the client's medical record and notes a consistently elevated blood pressure over the last eight years. The client has been noncompliant with lifestyle changes and medication use designed to reduce the client's blood pressure.
 
  Today, the nurse is able to palpate a heave on the client's chest. Where is the heave located?
 
  1. A.
  2. B.
  3. C.
  4. D.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Liamb2179

  • Sr. Member
  • ****
  • Posts: 365
Answer to Question 1

Correct Answer: 1
If the apical impulse can be palpated in an area greater than 1 cm in diameter or is laterally displaced, the conditions that may be present include left ventricular hypertrophy, severe left ventricular volume overload, or severe aortic regurgitation. Clients with aortic stenosis often have heaves present at the right sternal border, second intercostal space. The presence of heaves or thrills in the subxiphoid area suggests the presence of right ventricular volume overload. Pulsations or heaves in the left sternal border, second intercostal space, are associated with an enlarged left atrium.

Answer to Question 2

Correct Answer: 1
Pulsations or heaves palpated at the right sternal border in the second intercostal space are associated with systemic hypertension.




Zulu123

  • Member
  • Posts: 525
Reply 2 on: Jun 25, 2018
Wow, this really help


hramirez205

  • Member
  • Posts: 345
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

 

Did you know?

Dogs have been used in studies to detect various cancers in human subjects. They have been trained to sniff breath samples from humans that were collected by having them breathe into special tubes. These people included 55 lung cancer patients, 31 breast cancer patients, and 83 cancer-free patients. The dogs detected 54 of the 55 lung cancer patients as having cancer, detected 28 of the 31 breast cancer patients, and gave only three false-positive results (detecting cancer in people who didn't have it).

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates's recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

The most common treatment options for addiction include psychotherapy, support groups, and individual counseling.

Did you know?

According to research, pregnant women tend to eat more if carrying a baby boy. Male fetuses may secrete a chemical that stimulates their mothers to step up her energy intake.

Did you know?

Warfarin was developed as a consequence of the study of a strange bleeding disorder that suddenly occurred in cattle on the northern prairies of the United States in the early 1900s.

For a complete list of videos, visit our video library