Asked by Jessica Needham on Jun 02, 2024
Verified
While performing a cardiovascular assessment on a patient with suspected left-sided congestive heart failure,the nurse is unable to palpate the PMI with the patient lying supine.What might her next step be?
A) Have the patient turn onto his left side.
B) Have the patient lean forward.
C) Have the patient move to a sitting position.
D) Palpate the PMI to the right of the midclavicular line.
PMI
Point of maximal impulse; the location on the chest wall where the heart's impulse can be most strongly felt.
Midclavicular Line
An imaginary line on the body extending from the midpoint of the clavicle vertically down the torso.
- Acknowledge and delineate the findings from cardiovascular examinations and their consequences.
Verified Answer
MC
Melissa CiszewskiJun 09, 2024
Final Answer :
A
Explanation :
If palpating the PMI is difficult,turn the patient onto the left side.This maneuver moves the heart closer to the chest wall.Different positions help to clarify the types of sounds heard.Sitting position is best to hear high-pitched murmurs (if present).In the presence of serious heart disease,the PMI will be located to the left of the midclavicular line if related to an enlarged left ventricle.In chronic lung disease,the PMI is often to the right of the midclavicular line as a result of right ventricular enlargement.
Learning Objectives
- Acknowledge and delineate the findings from cardiovascular examinations and their consequences.
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