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CCRN Critical Care Nursing

Category - Neonatal

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

Explanation

Answer: A - A distinct force of movement is felt while the fingertips are on the right ventricle. If the palpation is done correctly then an unmistakable detection of forceful movement will be evident. However, slight impulses are not abnormal.

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CCRN Critical Care Nursing

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