The right 2nd rib space is the first location for cardiac auscultation and is also known as:
the tricuspid area.
Erb's point.
the mitral area.
the aortic area.
The Correct Answer is D
A) The tricuspid area: The tricuspid area is located at the lower left sternal border, around the 4th or 5th intercostal space. It is where the tricuspid valve sounds are best heard, not the area for auscultating the 2nd rib space.
B) Erb's point: Erb's point is located at the left sternal border in the 3rd intercostal space. It is a key area for auscultating both the aortic and pulmonic valves, as well as the mitral and tricuspid valves, but it is not associated with the right 2nd rib space.
C) The mitral area: The mitral area, also known as the mitral valve area, is located at the 5th intercostal space at the midclavicular line on the left side. This area is used for auscultating the mitral valve, not the right 2nd rib space.
D) The aortic area: The right 2nd rib space, also known as the 2nd intercostal space at the right sternal border, is the location where the aortic valve sounds are best auscultated. This area is used to listen to the aortic valve's closure and is the first location for cardiac auscultation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) 2: A muscle strength grade of 2 indicates that the muscle can move when gravity is eliminated, such as when the limb is supported. However, it does not have enough strength to move against gravity. This grade is not appropriate for the client described, as they can move both lower legs against gravity.
B) 3: A muscle strength grade of 3 means that the muscle can move the joint against gravity but without any additional resistance. This is less than the client’s described ability, as they can move their legs against some resistance.
C) 4: A muscle strength grade of 4 indicates that the muscle can move against gravity and moderate resistance. This matches the client’s ability to actively move both lower legs against gravity and some resistance, making it the correct documentation of their muscle strength.
D) 5: A muscle strength grade of 5 indicates normal muscle strength, where the muscle can move against gravity and full resistance without any signs of fatigue. Since the client is described as moving against some resistance but not full resistance, a grade of 5 would overestimate their current muscle strength.
Correct Answer is C
Explanation
A) Secondary: Secondary prevention involves early detection and intervention to manage or treat a disease in its early stages, such as screening for diabetes or monitoring blood glucose levels. Administering insulin does not fall under this category, as it is not about early detection but rather ongoing management.
B) Quaternary: Quaternary prevention focuses on minimizing the harm of medical interventions, avoiding overmedicalization, and improving the quality of life. This type of prevention is more about avoiding unnecessary treatments and ensuring the patient receives appropriate care. Administering insulin is not related to this concept.
C) Tertiary: Tertiary prevention aims to manage and mitigate the effects of an established disease to improve the quality of life and reduce complications. Administering insulin to a client with type 1 diabetes mellitus is an example of tertiary prevention because it is part of managing and treating the chronic condition to prevent complications and maintain health.
D) Primary: Primary prevention focuses on preventing the onset of disease through measures such as vaccination, lifestyle changes, or avoiding risk factors. Administering insulin does not prevent the onset of type 1 diabetes but rather manages an existing condition.
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