Concept explainers
To determine:
During the assessment of the patient’s heart, what position should Mrs. M assume, and what might you expect as you locate the PMI.
Case summary:
The nurse receives morning report for Mrs. M, age 71, admitted to the hospital yesterday with fatigue, a cough, and dyspnea; she is diagnosed with chronic heart failure. She states that she had increasing difficulty with shortness of breath and swelling in her legs. Pedal pulses are +1 bilaterally. On auscultation the nurse hear bilateral crackers in the lung bases and an S3 gallop when auscultating the heart. Respiratory rate is 18; heart rate is 84 and regular. The patient has an occasional non-productive cough. She is receiving 2L of oxygen by nasal cannula.
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Fundamentals of Nursing, 9e
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