The traditional areas of auscultation of heart sounds include Erb's point, which is located at?

Second or third intercostal space at the left sternal border

The second intercostal space at the right sternal border

Fifth intercostal space near the left midclavicular line

Third intercostal space at the left sternal border

Answer and Explanation

The Correct Answer is A

Rationale:
A. Second or third intercostal space at the left sternal border: Erb's point is located here, and it's a key area for listening to heart sounds, particularly the aortic and pulmonic valves.

B. The second intercostal space at the right sternal border: This area is typically used to auscultate the aortic valve.

C. Fifth intercostal space near the left midclavicular line: This area is used to auscultate the mitral valve, not Erb's point.

D. Third intercostal space at the left sternal border: This is the location for listening to the pulmonic valve, not Erb's point.

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Correct Answer is B

Explanation

A. Auscultating the area may not provide accurate information about the pulse if it is not palpable, though it can be part of the assessment if Doppler is unavailable.

B. Using Doppler ultrasonography is the most appropriate next step to accurately assess the pulse if it is not palpable, especially in older adults where pulses may be difficult to detect.

C. Asking another nurse to assess the pulse may not address the underlying issue of why the pulse is not palpable and does not provide additional information.

D. Documenting the absence of the dorsalis pedis pulse without further investigation could be premature, as Doppler ultrasonography should be used to confirm its absence.

A. Increased jugular venous pressure B. Decreased right-sided volume C. Decreased stroke volume D. Decreased central venous pressure

Correct Answer is A

Explanation

A. Increased jugular venous pressure: Right-sided heart failure often leads to increased jugular venous pressure due to the backup of blood in the systemic venous system.

B. Decreased right-sided volume: Right-sided heart failure typically results in increased blood volume in the right heart chambers, not decreased.

C. Decreased stroke volume: While right-sided heart failure can affect stroke volume, increased jugular venous pressure is a more direct indicator of right-sided heart failure.

D. Decreased central venous pressure: Right-sided heart failure usually results in increased, not decreased, central venous pressure.

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The traditional areas of auscultation of heart sounds include Erb's point, which is located at?

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Naxlex Comprehensive Predictor Exams

The nurse is unable to palpate the dorsalis pedis pulse on an older adult client. What would be most appropriate for the nurse to do next?

Correct Answer is B

Explanation

On examination, the nurse would expect what finding if a client is in right-sided heart failure?

Correct Answer is A

Explanation

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