An apical PMI palpated beyond the fifth intercostal space may indicate:
a. decreased cardiac output.
b. obesity.
c. left ventricular hypertrophy.
d. hyperventilation.
C
An apical impulse that is more forceful and widely distributed, fills systole, or is displaced later-ally and downward may be indicative of left ventricular hypertrophy. Obesity, large breasts, and muscularity can obscure the visibility of the apical impulse.
You might also like to view...
When describing the use of anti-infectives to treat urinary tract infections, which of the following would the nurse identify as the most common structure affected?
A) Bladder B) Kidney C) Prostate gland D) Urethra E) Ureters
Which statement about food and drug interactions is true?
a. Foods alter drug absorption and metabol-ism but not drug action. b. Medications are best absorbed on an empty stomach. c. Patient discomfort is the food and drug interaction of most concern. d. Some foods can inhibit CYP isoenzymes and alter drug metabolism.
The dietician suggests that a client weighing 220 lbs. should lose 15% of the current body to meet the first weight loss goal
How many pounds does this client have to lose to meet the first weight loss goal? Record the answer rounding to the nearest whole number.
A woman who is 2 months pregnant tells the nurse that she has never received the MMR vaccine and has not had these diseases. She has a 3-year-old and a 5-year-old child who have not been immunized
The nurse will counsel the patient to perform which action? a. Delay obtaining the vaccines for her children and herself until after her baby is born. b. Have her children vaccinated now and obtain the vaccine for herself after the baby is born. c. Obtain the MMR vaccine for her children and herself when she is in her third trimester of pregnancy. d. Obtain the MMR vaccine for her children and herself within the next few weeks.