The student nurse is preparing to take the client's apical pulse. Where does the registered nurse instruct the student nurse to place the stethoscope?
a. Along the left midclavicular line at the second to third intercostals space
b. Along the left midclavicular line at the third to fourth intercostal space
c. Along the left midclavicular line at the fourth to fifth intercostal space
d. Along the left midclavicular line at the fifth to sixth intercostal space
C
An apical pulse should be assessed at the client's point of maximal impulse (PMI). The PMI is located at the fourth to fifth intercostal space at the left midclavicular line.
Along the left midclavicular line at the second to third intercostals space is not the correct placement for auscultating a client's apical pulse.
The PMI is higher and more medial in children younger than 8 years of age. This client is not identified as being a child.
Along the left midclavicular line at the fifth to sixth intercostal space is not the correct placement for auscultating a client's apical pulse.
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