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A Nurse Is in the Process of Accessing a 6

Question 203

Multiple Choice

A nurse is in the process of accessing a 6 week old infant who has been brought into the emergency room for assessment. The nurse is not sure if the patient is presenting cardiac or respiratory symptoms and decides to do a palpation of the heart. If the problem is cardiac related then as a result of the palpitation the nurse may discover that the heart is enlarged and is identified by what signs?


A) A distinct force of movement is felt while the fingertips are on the right ventricle
B) The child is in pain
C) The chest feels bubbly
D) The heart is in the normal position

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