The instructor asks the student nurse to auscultate the client's Erb's Point.
Where is the cardiac landmark referred to as the Erb's Point located?
5th ICS Left MCL.
3rd ICS Left SB.
2nd ICS Left SB.
4th ICS Left SB.
The Correct Answer is B
Choice A rationale
5th ICS Left MCL is the location for the apical impulse (point of maximal impulse), not Erb's Point.
Choice B rationale
Erb's Point is located at the 3rd ICS Left SB and is significant for auscultation of heart sounds, particularly the S1 and S2 sounds.
Choice C rationale
2nd ICS Left SB is the location for auscultating the pulmonic valve area.
Choice D rationale
4th ICS Left SB is where the tricuspid valve is auscultated.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Deep vein thrombosis (DVT) involves a blood clot in a deep vein, usually in the legs. Symptoms include swelling, pain, and redness, but not typically cold legs or hair loss, making it unlikely in this scenario.
Choice B rationale
Venous insufficiency occurs when veins struggle to send blood back to the heart, leading to varicose veins, swelling, and skin changes. While it can cause leg discomfort, it does not typically result in cold legs or hair loss.
Choice C rationale
Varicosities are enlarged, twisted veins caused by increased pressure. They can cause pain and swelling but not cold legs or hair loss, making them an unlikely cause of the described symptoms.
Choice D rationale
Arterial insufficiency, caused by poor blood flow due to narrowed arteries, results in symptoms such as cold legs, hair loss, pain, and weakened pulses. The description of cold legs and hair loss fits arterial insufficiency, making it the most likely diagnosis.
Correct Answer is A
Explanation
Choice A rationale
Pallor refers to the pale appearance of the skin due to decreased blood flow or decreased hemoglobin levels. It is often seen in conditions such as anemia, where there is a reduced number of red blood cells or hemoglobin, leading to a lack of the red-pink tones normally present in healthy skin.
Choice B rationale
Cyanosis refers to a bluish discoloration of the skin and mucous membranes due to inadequate oxygenation of the blood. It is often seen in respiratory or cardiovascular conditions where there is a decrease in oxygen levels. Cyanosis does not describe the absence of red-pink tones from decreased hemoglobin.
Choice C rationale
Jaundice refers to a yellow discoloration of the skin and eyes due to elevated levels of bilirubin in the blood. It is often seen in liver conditions or hemolysis. Jaundice is not related to decreased hemoglobin levels or the absence of red-pink tones in the skin.
Choice D rationale
Erythema refers to redness of the skin caused by increased blood flow to the capillaries in the dermis. It is often associated with inflammation, infection, or skin irritation. Erythema indicates increased blood flow, not decreased hemoglobin levels.
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