Which physical assessment findings would the nurse expect in a patient with a left ventricular aneurysm?
A) S3
B) Apical impulse displaced to right
C) Diastolic murmur
D) Opening snap
A) S3
Explanation: A) With a ventricular aneurysm, a third or fourth heart sound may be present on physical examination, and the apical impulse may be displaced to left of the midclavicular line.
B) With a ventricular aneurysm, a third or fourth heart sound may be present on physical examination, and the apical impulse may be displaced to left of the midclavicular line.
C) With a ventricular aneurysm, a systolic murmur may be auscultated related to coexisting mitral regurgitation.
D) An opening snap is heard in mitral stenosis. With a ventricular aneurysm a systolic murmur may be auscultated related to coexisting mitral regurgitation.
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