A nurse is collecting data from a client during a routine physical exam. Which of the following locations should the nurse identify as the point of maximum impulse?
A
B
C
The Correct Answer is A
Choice A: The fifth intercostal space at the midclavicular line
The point of maximal impulse (PMI), also known as the apical impulse, is usually located in the fifth intercostal space at the midclavicular line. This is the point on the precordium farthest outwards (laterally) and downwards (inferiorly) from the sternum at which the cardiac impulse can be felt.
Choice B: The first intercostal space at the sternal border
The first intercostal space at the sternal border is not typically the location of the PMI. The PMI is usually located in the fifth intercostal space at the midclavicular line.
Choice C: The second intercostal space at the sternal border
The second intercostal space at the sternal border is not typically the location of the PMI. The PMI is usually located in the fifth intercostal space at the midclavicular line.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: A fasting blood glucose of 100 mg/dL is at the high end of the normal range and may not necessarily indicate good control over the past 3 months.
Choice B reason: A fasting blood glucose of 70 mg/dL is within the normal range but does not reflect long-term glucose control.
Choice C reason: An HbA1C of 12.5% is significantly high and indicates poor blood glucose control over the past 3 months.
Choice D reason: An HbA1c of 6.5% is within the target range for many individuals with diabetes, suggesting good blood glucose control over the past 3 months.
Correct Answer is B
Explanation
Choice A reason: Storing items on the steps can create a tripping hazard, especially for a client recovering from hip arthroplasty.
Choice B reason: Placing electrical cords against the wall helps to reduce the risk of tripping and is a safety measure to prevent falls.
Choice C reason: Throw rugs can be a tripping hazard and should be avoided, especially in areas like the bathroom where the floor can be slippery.
Choice D reason: Pot handles should be turned inward, away from the edge of the stove, to prevent accidental spills and burns.
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