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 C

Explanation

C. Ventricles: After blood is received by the atria, it flows through the atrioventricular (AV) valves into the ventricles.

A. Chordae tendineae: These are the tendinous cords that anchor the AV valves but are not the structures where blood flows.

B. Precordium: This term refers to the area of the chest wall over the heart, not a chamber of the heart where blood flows.

D. Semilunar valves: These valves are located between the ventricles and the arteries (pulmonary and aortic) and are not the immediate next location for blood after the atria.

A. Antidepressant B. Antihypertensive C. Oral contraceptive D. Antilipid agent

Correct Answer is C

Explanation

A. Antidepressant: Antidepressants are not typically associated with a high risk of thrombophlebitis.

B. Antihypertensive: Antihypertensives generally do not increase the risk of thrombophlebitis.

C. Oral contraceptive: Oral contraceptives are known to increase the risk of thrombophlebitis due to their effect on blood clotting factors.

D. Antilipid agent: Antilipid agents, such as statins, do not commonly cause thrombophlebitis.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After teaching a group of students about blood flow through the heart, the instructor determines that the teaching was successful when the students state that after being received by the atria, the blood goes to which of the following?

Correct Answer is C

Explanation

A 42-year-old woman reveals an intake of medications. Which medication if reported by the client would alert the nurse to the need to assess the client for thrombophlebitis?

Correct Answer is C

Explanation

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