Chapter 31: Assessment of Cardiovascular System Lewis: Medical-Surgical Nursing, 10th Edition

A 74-yr-old patient has just arrived in the emergency department. After assessment reveals a pulse deficit of 46 beats, the nurse will anticipate that the patient may require d. electrocardiographic (ECG) monitoring. 2. The nurse is reviewing the 12-lead electrocardiograph (ECG) for a healthy 74-yr-old patient who is having an annual physical examination. What finding is of most concern to the nurse? d. The heart rate (HR) is 41 beats/min. 3. During a physical examination of an older patient, the nurse palpates the point of maximal impulse (PMI) in the sixth intercostal space lateral to the left midclavicular line. The best follow-up action for the nurse to take will be to c. assess for symptoms of left ventricular hypertrophy. 4. To auscultate for S3 or S4 gallops in the mitral area, the nurse listens with the b. bell of the stethoscope with the patient in the left lateral position. 5. To determine the effects of therapy for a patient who is being treated for heart failure, which laboratory test result will the nurse plan to review? d. B-type natriuretic peptide (BNP)