The nurse is assessing the apical pulse. Where should the stethoscope be placed?
Between the fourth and fifth intercostal space.
Between the third and fourth intercostal space.
Between the second and third intercostal space.
Between the first and second intercostal space.
The Correct Answer is A
Choice A rationale
The apical pulse is located at the fifth intercostal space at the left midclavicular line.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Civil law deals with disputes between individuals or organizations, not with offenses against society as a whole.
Choice B rationale
Common law is a system of law based on precedent and customs, not a classification of offenses.
Choice C rationale
A felony is a serious crime that is often punishable by imprisonment for more than one year. Parking on a sidewalk is not considered a serious crime.
Choice D rationale
A misdemeanor is a less serious crime that is often punishable by a fine, like a parking ticket.
Correct Answer is A
Explanation
Choice A rationale
The client reports mild pain in the upper left arm at 2/10 on a scale of 0 to 10. This indicates that the interventions were effective in managing the pain associated with the infection and cellulitis.
Choice B rationale
The client’s early morning finger stick blood glucose (FSBG) was 97 mg/dL (5.4 mmol/L). This is within the normal range, indicating that the interventions were effective in maintaining the client’s blood glucose levels within the normal range.
Choice C rationale
The client’s left upper arm is slightly reddened when compared with the right upper arm. This could be a sign of inflammation or infection, suggesting that the interventions were ineffective in completely resolving the infection and cellulitis.
Choice D rationale
The client reports that her back is more achy since she came to the hospital. This could be due to a variety of factors, including the hospital bed or a lack of physical activity. It is unrelated to the expected outcomes of the interventions for the infection and cellulitis.
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