Wgu rn hesi health assessment proctored exam
During the precordium assessment, the nurse palpates the apical impulse of a client on the 5th intercostal space left mid-clavicular line. The pulse is more vigorous than expected. Which action should the nurse take in response to this finding?
Explanation & Rationale
A. A more vigorous than expected apical impulse may indicate conditions such as heart failure or hypertrophy, which are associated with heart disease. A history of heart disease should be explored to assess the significance of this finding. B. Blood pressure measurement may be important later, but the immediate concern is to assess the client's cardiac history. C. A vigorous apical impulse is not a normal response and requires further investigation. D. Comparing the apical pulse to the carotid pulse is not directly relevant to assessing the cause of a vigorous apical impulse.
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