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 97 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
Great answer, keep it coming :)


adammoses97

  • Member
  • Posts: 337
Reply 3 on: Yesterday
:D TYSM

 

Did you know?

For about 100 years, scientists thought that peptic ulcers were caused by stress, spicy food, and alcohol. Later, researchers added stomach acid to the list of causes and began treating ulcers with antacids. Now it is known that peptic ulcers are predominantly caused by Helicobacter pylori, a spiral-shaped bacterium that normally exist in the stomach.

Did you know?

The average human gut is home to perhaps 500 to 1,000 different species of bacteria.

Did you know?

Aspirin is the most widely used drug in the world. It has even been recognized as such by the Guinness Book of World Records.

Did you know?

Approximately 70% of expectant mothers report experiencing some symptoms of morning sickness during the first trimester of pregnancy.

Did you know?

The first monoclonal antibodies were made exclusively from mouse cells. Some are now fully human, which means they are likely to be safer and may be more effective than older monoclonal antibodies.

For a complete list of videos, visit our video library