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Homework answers / question archive / The nurse is assessing the cardiovascular system of several patients
The nurse is assessing the cardiovascular system of several patients. Which of the patients will the nurse have the most challenging attempt to palpate for the apical impulse?
Select one:
a. A pre-school child
b. A frail, 22-year old male
c. A 56-year old with aortic insufficiency
d. A patient with an increased anteroposterior chest diameter
Answer.
d. A patient with an increased anteroposterior chest diameter
Step-by-step explanation
The apical impulse is palpated on the mitral area and it might be the size of a nickel that is 1 to 2cm. In older clients the apical impulse may be difficult to palpate because of the increased anteroposterior chest diameter.
