When assessing the heart, the nurse inspects and palpitates which of the following?
Peritoneum and tricuspid area
Precordium and PMI
Precordium and apical heart rate
Peritoneum and left sternal border.
The Correct Answer is B
When assessing the heart, the nurse will inspect and palpate the precordium, which is the area of the chest overlying the heart, and the PMI (point of maximal impulse), which is the point on the chest where the heartbeat is the strongest. These assessments allow the nurse to gather information about the size, shape, and location of the heart and to detect any abnormalities in the heartbeat or rhythm. The peritoneum is a membrane lining the abdominal cavity and has no relevance in the assessment of the heart. The tricuspid area and left sternal border are areas of the chest that may be auscultated to assess heart sounds but are not palpated during a heart assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The CAGE acronym is a brief screening tool used to assess alcohol misuse or dependence. It consists
of four questions that can be easily remembered using the acronym CAGE:
C - Have you ever felt you needed to Cut down on your drinking?
A - Have you ever felt Annoyed by criticism of your drinking? G - Have you ever felt Guilty about your drinking?
E - Have you ever felt the need for an Eye-opener (drink) in the morning?
Correct Answer is D
Explanation
Napping during the day can interfere with a person's ability to sleep at night, especially if it is done for long periods or close to bedtime. The nurse can provide education on proper sleep hygiene and recommend ways to establish a consistent sleep schedule that promotes restful sleep, such as avoiding caffeine and alcohol, practicing relaxation techniques, and limiting exposure to electronic devices before bedtime.
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