The nurse has been caring for a child on the pediatric floor and notes that the child's PMI has shifted to the midline. The nurse is aware that this can indicate:
1. Poor inspiratory effort by the child.
2. Pneumonia in the left lung.
3. Pneumothorax.
4. Neurological integrity has been compromised.
3
Feedback
1. Point of maximum impulse is the heart's sounds.
2. Pneumonia may mask the heart's sounds, but should not indicate a shift in the PMI.
3. Air is very heavy and will shift the heart to the midline of the sternum, resulting in a shift of the point of maximum impulse.
4. PMI does not refer to any neurological alterations.
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