The nurse is performing a cardiac assessment and prepares to palpate the client's heartbeat on the client's chest. Which is the correct location for the nurse to use when conducting this assessment?
1. A.
2. B.
3. C.
4. D.
Correct Answer: 3
The point of maximal impulse or PMI is located at the fifth intercostal space at the midclavicular line.
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A nurse is caring for an older adult client who is admitted with moderate dehydration. Which intervention should the nurse implement to prevent injury while in the hospital?
a. Ask family members to speak quietly to keep the client calm. b. Assess urine color, amount, and specific gravity each day. c. Encourage the client to drink at least 1 liter of fluids each shift. d. Dangle the client on the bedside before ambulating.
Directions: Apply the guidelines relating to the use of leading and trailing zeros and express the following metric notations correctly. .65 mL
ANS:
The nurse sees a client crying after being dropped off for a clinic appointment. The client states, "I am a burden to my entire family now that I cannot drive."
Based on this data, which does the nurse include in the client's plan of care? A) Risk for depression B) Risk for cardiac disease C) Risk for situational depression D) Risk for bipolar disorder
In preparation for teaching a women's community center class about physiologic changes during menopause, the nurse is preparing a handout for students. Which information should the nurse include in this teaching?
1. Due to changes in estrogen levels, the labia minora increase in size after menopause. 2. The ovaries remain small after puberty, but they increase in size following menopause. 3. After menopause, the endometrium continues to undergo monthly degeneration and renewal. 4. Ovarian secretion of estrogen decreases between the ages of 45 and 55, after which point ovulatory activity ceases.