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

An apical impulse that can be palpated in an area greater than 1-2 cm in diameter suggests left ventricular hypertrophy, which is a common complication of hypertension. Aortic stenosis would present with a decreased or delayed carotid upstroke and a narrow pulse pressure. Right ventricular volume overload and an enlarged left atrium would not be indicated by the location of the apical impulse.

The Nurse Is Performing a Cardiac Assessment on an Older