The nurse is preparing to assess a client's apical impulse. The nurse would palpate at which location?
Fourth intercostal space, left sternal border
Second intercostal space, left sternal border
Fifth intercostal space, left midclavicular line
Third intercostal space left axillary line
The Correct Answer is C
C. Fifth intercostal space, left midclavicular line: The apical impulse, or point of maximal impulse (PMI), is typically palpated at the fifth intercostal space, left midclavicular line, where the apex of the heart is closest to the chest wall.
A. Fourth intercostal space, left sternal border: This location is not typically used for palpating the apical impulse; it is more relevant for auscultating heart sounds.
B. Second intercostal space, left sternal border: This location is used for auscultating the aortic and pulmonic valves.
D. Third intercostal space left axillary line: This is not a standard location for palpating the apical impulse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. S3: This sound is associated with early diastole, often related to heart failure or volume overload.
B. S1: The first heart sound (S1) marks the beginning of systole and corresponds to the closure of the mitral and tricuspid valves.
C. S2: The second heart sound (S2) indicates the end of systole and the beginning of diastole, associated with the closure of the aortic and pulmonic valves.
D. S4: This sound is associated with late diastole, often related to decreased ventricular compliance.
Correct Answer is D
Explanation
A. Gallops refer to abnormal heart sounds that occur during the cardiac cycle, not typically associated with sounds over the carotid artery.
B. Murmurs are abnormal heart sounds that occur due to turbulent blood flow in the heart, not typically related to the carotid artery.
C. Normal findings would not usually include high-pitched swooshing sounds over the carotid artery; such sounds are abnormal.
D. Bruits are abnormal sounds caused by turbulent blood flow in the arteries, which can be detected as high-pitched swooshing sounds over the carotid artery, often indicative of stenosis or narrowing of the vessel.
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