The nurse is performing a cardiac assessment on an older adult client admitted with hypertension. The nurse determines that the apical impulse can be palpated in an area 2 cm in diameter at the point of maximal impulse. Which conclusion by the nurse is appropriate based on this data?

Question

Quizplus · Accepted Answer

The apical impulse, also known as the point of maximal impulse (PMI), is normally palpable in an area less than 2.5 cm in diameter. When the apical impulse is palpable in an area larger than this, it suggests left ventricular hypertrophy, often due to conditions like hypertension which causes the heart muscle to work harder and thus enlarge.

The Nurse Is Performing a Cardiac Assessment on an Older