A nurse is assessing a client's cardiovascular system. To palpate for unexpected pulsations in the pulmonic area, at which anatomical location should the nurse place her fingers?
The left fifth intercostal space
the left fifth intercostal space at the midclavicular line
The night second intercostal space
The le second intercostal space
The Correct Answer is D
A. This area is used to assess the mitral area, not the pulmonic area.
B. The left fifth intercostal space at the midclavicular line. This is the correct location to assess the mitral area of the heart, not the pulmonic area.
C. This is the correct area to assess the pulmonic valve, not the left side.
D. This is the correct location to assess for the pulmonic area, where the second heart sound is best heard and where pulsations may be noted.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Dry mouth (xerostomia) may occur after a stroke, but it is not the most likely symptom when there is facial drooping, which suggests more significant swallowing and motor function issues.
B. Rhinorrhea (runny nose) is not directly associated with a stroke and would not typically be expected in this scenario.
C. Dysphagia (difficulty swallowing) is a common finding in patients who have suffered a stroke, particularly when there is facial drooping or difficulty with facial muscle control.
D. Nosebleeds are not directly linked to stroke symptoms and are unlikely to be caused by the facial drooping.
Correct Answer is ["C","D"]
Explanation
A. As the patient says a long "ee-ee-ee" sound, the examiner hears a long "aaaaaa" sound. - This indicates a possible consolidation in the lungs, which is abnormal.
B. When the patient speaks in a normal voice, the examiner can hear a sound but cannot exactly distinguish what is being said. - This suggests abnormal voice transmission and could indicate lung consolidation or other issues.
C. As the patient says a long "ee-ee-ee" sound, the examiner also hears a long "ee-ee-ee" sound. - This is normal, indicating clear and symmetrical transmission of voice sounds.
D. As the patient repeatedly says "ninety-nine," the examiner clearly hears the words "ninety-nine." - This is also normal, as it indicates normal transmission of sound and no lung consolidation.
E. Voice sounds are faint, muffled, and almost inaudible when the patient whispers "one, two, three" in a very soft voice. - This is normal for whispered voice sounds and is not a sign of abnormal lung findings.
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.
