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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. A tear in the rotator cuff usually results in pain and limited range of motion, but it doesn't typically cause a length discrepancy in the arms.
B. Also known as frozen shoulder, this condition is characterized by limited range of motion but would not cause a discrepancy in arm length.
C. While joint effusion involves fluid accumulation and can cause pain and swelling, it doesn't cause arm length discrepancy or the sudden inability to move the shoulder.
D. A dislocated shoulder often results in an obvious deformity, such as a length discrepancy between the arms, and could prevent movement due to pain.

A. Review the medical record for information on the patient's abilities. B. Ask the patient's wife how he does when performing tasks. C. Ask the patient's physician for information on the patient's abilities. D. Observe the patient's ability to perform the tasks.

Correct Answer is D

Explanation

A. Although the medical record can provide background information, it does not give the real-time assessment of the patient's current functional abilities.
B. While this information can be valuable, observing the patient directly provides the most accurate assessment of his abilities.
C. The physician’s perspective is important but may not fully capture the patient's day-to-day functional capacity.
D. Direct observation allows the nurse to assess the patient’s current functional status and make necessary adjustments to the care plan.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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