The nurse taking an apical pulse would place the stethoscope at:

directly below the sternum.

the left of the sternum at the third intercostal space.

the left midclavicular line at the fifth intercostal space

tightly above the left nipple.

Answer and Explanation

The Correct Answer is C

A.   The area directly below the sternum is not the location for the apical pulse.
B.   The third intercostal space is too high for the apical pulse, which is best heard at the fifth intercostal space.
C.   The left midclavicular line at the fifth intercostal space is the proper location for auscultating the apical pulse.
D.   Placing the stethoscope above the left nipple does not ensure accurate assessment of the apical pulse.

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Correct Answer is D

Explanation

A. A score of 7 would indicate a much lower level of consciousness and require urgent intervention.
B. A score of 12 would indicate some level of impairment, with the patient not fully alert or responsive.
C. A score of 10 would indicate some level of impairment, with the patient not fully alert or responsive.
D. A score of 15 on the Glasgow Coma Scale indicates full consciousness and normal neurological function. It is the highest possible score, reflecting a patient who is awake, aware, and able to follow commands.

A. "You stand 20 feet away from the chart while I test each of your eyes." B. The number beside the largest print read is your visual acuity score! C. "I will be testing your vision with your reading glasses on." D. "You stand 50 feet away from the chart while I test each of your eyes."

Correct Answer is A

Explanation

A. The patient should stand 20 feet away from the Snellen chart to accurately measure visual acuity, which is the standard procedure.

B. The number beside the largest print is not the correct visual acuity score; the patient must read progressively smaller lines.
C. Testing with reading glasses is appropriate only for patients who need them for close-up vision, but the Snellen test typically measures distance vision.
D. The distance should be 20 feet, not 50 feet, to ensure proper testing conditions.

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The nurse taking an apical pulse would place the stethoscope at:

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