A nurse can most accurately assess a client's apical heart rate by which of the following methods?
Listen with a stethoscope at the second intercostal space left sternum
Listen with the stethoscope at the fifth intercostal space at the sternum
C. Listen with the stethoscope at the fifth intercostal space left mid clavicular line
Listen with a stethoscope at the neck to the right of the coracoid process.
The Correct Answer is C
The correct answer is choice C: Listen with the stethoscope at the fifth intercostal space left mid clavicular line. This is the correct location to auscultate the apical pulse or apical heart rate. The apical pulse is the sound of the heart beating heard through a stethoscope placed over the apex of the heart, which is located at the fifth intercostal space at the left mid-clavicular line. The second intercostal space at the left sternum is the location to auscultate the aortic valve, while the fifth intercostal space at the sternum is the location to auscultate the tricuspid valve. The neck to the right of the coracoid process is not a location to auscultate the apical pulse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D, Evaluation.
Evaluation is the step of the nursing process where the nurse assesses the client's response to interventions that were implemented during the implementation step. In this scenario, the nurse administered pain medication and is now evaluating its effectiveness by asking the client to rate their current level of pain on a scale of 0 to 10. Based on the client's response, the nurse can determine whether the intervention was successful or whether adjustments to the plan of care are necessary.
Correct Answer is C
Explanation
The correct answer is choice C, "Can you tell me more about why you are undecided?"
When a patient is undecided about receiving recommended chemotherapy treatment, the most therapeutic response from the nurse would be to ask the patient to tell more about why they are undecided. This approach allows the patient to express their feelings and concerns about the treatment, which may help them come to a decision. The nurse should not tell the patient what they should do or criticize them for taking time to decide. The decision to undergo chemotherapy is a significant one, and the patient needs to feel that they have support and guidance from their healthcare provider to make an informed decision.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.