An older adult patient is admitted to the critical care unit with uncontrolled hypertension. The ...

An older adult patient is admitted to the critical care unit with uncontrolled hypertension. The patient's point of maximal impulse (PMI) is enlarged and displaced laterally. Which is the normal size of the left ventricular impulse (LVI)?

1) <1 cm
2) No greater than 2 cm
3) Between 3 and 4 cm
4) >4 cm

Question 2

Which action by the nurse will allow bruits to be heard most accurately?

1) Using a fetoscope
2) Using the diaphragm of the stethoscope
3) Using the bell of the stethoscope
4) Using the unassisted ear

Question 3

The nurse notes an elevated jugular venous pressure (JVP). Which disease process can cause this assessment finding?

1) Hypovolemia
2) Constrictive pericarditis
3) Right ventricular hypertrophy
4) Abnormal venous wave forms

Question 4

Which of the following factors may affect a patient's risk for heart disease?

1) Age
2) Gender
3) Ethnicity
4) All of the above

Question 5

Which is often the cause of an additional heart sound heard during pregnancy?

1) A mammary souffl
2) Friction rub
3) Venous hum
4) S4 gallop

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An older adult patient is admitted to the critical care unit with uncontrolled hypertension. The ...

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