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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B: Dysuria. Dysuria refers to painful or difficult urination. This can be a symptom of a bladder infection, also known as a urinary tract infection (UTI). When documenting a client's condition, it is important to use accurate terminology to communicate effectively with other healthcare professionals. Other terms such as anuria, oliguria, and polyuria refer to different conditions related to urine output and should not be used to describe the symptom of painful urination.
Correct Answer is C
Explanation
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.
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