A normal pulsation palpated in the mitral area is the apical impulse, which
a. has a large amplitude.
b. can be felt immediately after the first heart sound.
c. is often easier to palpate with the patient turned to the right side.
d. is present in about 10% of adults.
B
The apical impulse is palpable in approximately half of the adult population. It is felt as a light, localized tap that is 1 to 2 cm in diameter. The amplitude is small, and it can be felt immediately after the first heart sound, lasting for about one-half of systole. This impulse may be exaggerated in young patients. The apical impulse is often easier to palpate with the patient turned to the left side. This position facilitates palpation because the heart shifts closer to the chest wall.
You might also like to view...
A nurse cares for a client newly diagnosed with colon cancer who has become withdrawn from family members. Which action should the nurse take?
a. Contact the provider and recommend a psychiatric consult for the client. b. Encourage the client to verbalize feelings about the diagnosis. c. Provide education about new treatment options with successful outcomes. d. Ask family and friends to visit the client and provide emotional support.
A nurse at a health care center has been asked to prepare a teaching plan for a client on oxazolidinedione therapy. Which of the following points should the nurse include?
A) Avoiding exposure to ultraviolet light B) Taking the drug 2 hours after a meal C) Taking the drug with milk D) Avoiding carbonated drinks during therapy
A patient diagnosed with cervical cancer will soon begin a round of radiation therapy. When planning the patient's subsequent care, the nurse should prioritize actions with what goal?
A) Preventing hemorrhage B) Ensuring the patient knows the treatment is palliative, not curative C) Protecting the safety of the patient, family, and staff D) Ensuring that the patient adheres to dietary restrictions during treatment
A 44-year-old female patient with Cushing syndrome is admitted for adrenalectomy. Which intervention by the nurse will be most helpful for a nursing diagnosis of disturbed body image related to changes in appearance?
a. Reassure the patient that the physical changes are very common in patients with Cushing syndrome. b. Discuss the use of diet and exercise in controlling the weight gain associated with Cushing syndrome. c. Teach the patient that the metabolic impact of Cushing syndrome is of more importance than appearance. d. Remind the patient that most of the physical changes caused by Cushing syndrome will resolve after surgery.