In which of the following locations could the nurse best auscultate the point of maximum impulse (PMI) in an adult client?
a. Fourth intercostal space, left of the midclavicular line
b. Fifth intercostal space, medial to the left midclavicular line
c. Second intercostal space, right of the midclavicular line
d. Third intercostal space, right of the midclavicular line
B
In the adult client, the PMI is located at the fifth intercostal space, medial to the left midclavicu-lar line.
The PMI of an 8-year-old child is more likely to be located at the fifth intercostal space, left of the midclavicular line.
The PMI is not located to the right of the midclavicular line.
The PMI of an infant is at the third or fourth intercostal space, left of the midclavicular line.
You might also like to view...
A nurse is performing a quarterly inspection of the equipment in the school. The nurse's priority is to make sure which piece of equipment is present and working properly?
A. Code Cart B. Automated external defibrillator (AED) C. Otoscope D. Flowmeter
The nurse assesses phase 1 Korotkoff's sound occurring at 136 and phase 5 Korotkoff's sound occurring at 72. How should the nurse document this client's blood pressure reading?
1. 136/72. 2. 72/136. 3. 136 - 72. 4. 72 - 136.
Using the ABC method, in which category would you place prime rib?
a. C b. B c. Dual A d. A
The nurse monitors a CKD patient's daily weights because of the risk for fluid retention. What instructions does the nurse give to the UAP?
a. Weigh the a patient daily at the same time each day, same scale, with the same amount of clothing. b. Weigh the patient daily and add 1 kilogram for the intake of each liter of fluid c. Weight the patient in the morning before breakfast and weigh the patin at night just before bedtime d. Ask the patient what his or her normal weight is and then weigh the patient before and after each voiding