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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Venous insufficiency ulcers: Typically present with dark discoloration and edema, but not specifically with changes in color with elevation and dependency.

B. Arterial insufficiency ulcers: Pale feet when elevated and dark red when dependent are classic signs of arterial insufficiency. These changes in color are due to poor blood flow.

C. Neuropathic ulcers: Usually associated with diabetes and often occur on pressure points, not typically related to color changes with elevation.

D. Deep vein thrombosis: While DVT can cause swelling and pain, it does not usually present with color changes that are dependent on the position of the foot.

A. Smoking B. Diabetes C. Elevated Cholesterol Levels D. Hypertension

Correct Answer is ["A","B","C","D"]

Explanation

A. Smoking: Smoking is a major risk factor for peripheral vascular disease as it contributes to vascular damage and atherosclerosis.

B. Diabetes: Diabetes increases the risk of peripheral vascular disease by contributing to endothelial dysfunction and atherosclerosis.

C. Elevated Cholesterol Levels: High cholesterol levels contribute to the formation of atherosclerotic plaques in peripheral vessels.

D. Hypertension: High blood pressure can lead to damage of blood vessels and increase the risk of peripheral vascular disease.

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The nurse is preparing to assess a client's apical impulse. The nurse would palpate at which location?

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Naxlex Comprehensive Predictor Exams

During the physical assessment of the peripheral vascular system, a client's foot is pale when elevated and dark red when in the dependent position. The nurse is concerned that this client is at risk for developing:

Correct Answer is B

Explanation

While the nurse is assessing a 56-year-old male with concerns about his peripheral vascular health, the nurse would educate the patient about which risk factors that can influence his peripheral vascular system? (Select all that apply)

Correct Answer is ["A","B","C","D"]

Explanation

While performing an assessment, the nurse presses the client's arm with the tip of her thumb, holds for a few seconds, and releases. The nurse observes the client as shown. What is the nurse assessing?

When the nurse is obtaining a health history of the urinary system, the client reports "leaking" urine when coughing or laughing. Which of the following problems is the client likely experiencing?

When auscultating a client's heart sounds, the nurse hears a louder S2 when listening at the 2nd intercostal space right sternal border. The nurse determines that this finding is consistent with the closure of which heart valves?

A group of nurses is reviewing several electrocardiograms (ECGs). The students demonstrate an understanding of the waveforms when they identify which component as indicating ventricular repolarization (relaxation).

The nurse hears high-pitched swooshing sounds over the carotid artery on the right side. What is this sound indicative of?

Aortic insufficiency/regurgitation murmur is classified as a:

The nurse is preparing to assess a client's apical impulse. The nurse would palpate at which location?

After taking the vital signs of a client, the nurse notes the client has a high systolic blood pressure reading. Which factors should the nurse include when explaining the possible cause of this increase? Select all that apply.