Match the heart valve site with its correct anatomical location.
Heart Valve Site: Aortic Pulmonic Tricuspid Mitral Anatomical Location:

5th ICS, left MCL.

3rd ICS, left sternal border.

2nd ICS, right sternal border.

4th ICS, left sternal border.

Answer and Explanation

Correct Answer : A,B,C,D

The aortic valve is best auscultated at the second intercostal space (ICS) along the right sternal border. This anatomical landmark corresponds to the superficial projection of the aorta and is where the sounds of aortic valve closure and blood flow through the aorta are most clearly transmitted to the chest wall. Optimal sound transmission is achieved by minimizing intervening tissue. Pulmonic rationale:

The pulmonic valve is best auscultated at the third intercostal space (ICS) along the left sternal border, also known as Erb's point. While the pulmonic area is typically at the second ICS left sternal border, Erb's point provides a broader area for detecting murmurs related to both the pulmonic and aortic valves. This location provides good sound transmission for the pulmonary artery. Tricuspid rationale:

The tricuspid valve is best auscultated at the fourth intercostal space (ICS) along the left sternal border. This location overlies the right ventricle and the tricuspid valve, allowing for clear detection of its closure sounds and any associated murmurs. The proximity of the valve to the chest wall at this point facilitates optimal auscultation. Mitral rationale:

The mitral valve is best auscultated at the fifth intercostal space (ICS) at the midclavicular line (MCL). This location is also known as the apex of the heart, where the left ventricle's impulse is strongest. Sounds produced by the mitral valve, particularly during its closure, are best heard here due to the direct anatomical projection and maximal cardiac impulse. .

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Free Nursing Study Resources

Correct Answer is ["101.3"]

Explanation

Step 1: Convert Celsius to Fahrenheit using the formula F = (C × 9/5) + 32.

Step 2: F = (38.5 × 9 ÷ 5) + 32.

Step 3: F = (346.5 ÷ 5) + 32.

Step 4: F = 69.3 + 32.

Step 5: F = 101.3 °F. The patient's temperature in Fahrenheit is 101.3 °F.

A. Dorsogluteal. B. Abdomen. C. Ventrogluteal. D. Vastus lateralis. E. Deltoid

Correct Answer is ["C","D","E"]

Explanation

Choice A rationale

The dorsogluteal site is generally not recommended for intramuscular injections of 2.5 mL, especially in children or patients with less developed muscle mass, due to the significant risk of sciatic nerve injury and variable muscle depth. Ventrogluteal is preferred for larger volumes.

Choice B rationale

The abdomen is primarily used for subcutaneous injections, not intramuscular injections due to its composition primarily of adipose tissue and lack of substantial muscle mass. Injecting 2.5 mL intramuscularly into the abdomen would be painful, ineffective, and potentially harmful.

Choice C rationale

The ventrogluteal site is a safe and preferred intramuscular injection site, capable of accommodating volumes up to 2.5 mL due to its thick gluteus medius and minimus muscles, far from major nerves and blood vessels, reducing the risk of complications.

Choice D rationale

The vastus lateralis muscle is a large, well-developed muscle, making it a suitable site for intramuscular injections of 2.5 mL, particularly in adults and children. Its accessibility and distance from major nerves make it a safe option for medication administration.

Choice E rationale

The deltoid muscle can accommodate intramuscular injections of up to 2 mL in adults, making it an acceptable site for 2.5 mL if the muscle mass is adequately developed. However, care must be taken to avoid the radial nerve and ensure proper needle length.

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Match the heart valve site with its correct anatomical location. Heart Valve Site: Aortic Pulmonic Tricuspid Mitral Anatomical Location:

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Naxlex Comprehensive Predictor Exams

A patient arrived in the emergency room with a fever of 38.5 °C. Change the temperature to Fahrenheit.

Correct Answer is ["101.3"]

Explanation

The nurse is preparing to administer a dose of promethazine IM. When pulled up in the syringe, the needle contains 2.5 mL of medication. The nurse is aware that the medication can be given in which sites. (SELECT 3 CORRECT OPTIONS)

Correct Answer is ["C","D","E"]

Explanation

When monitoring for an allergic reaction, the nurse must be aware that allergic drug reactions.

A woman who is 8 months pregnant comments that she has noticed a change in posture and is having lower back pain. The nurse tells her that during pregnancy women have a posture shift to compensate for the enlarging fetus. This shift in posture is known as:

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The patient comes to the hospital with a variety of symptoms. Which symptom will the nurse assess first?

The nurse is preparing to assess the posterior tibial pulse. Where is the correct location for palpation?

During an assessment of a 20-year-old African-American's external auditory meatus, the nurse notes the presence of cerumen. What is the significance of this finding?

Match the heart valve site with its correct anatomical location.
Heart Valve Site: Aortic Pulmonic Tricuspid Mitral Anatomical Location: