The nurse prepares to assess a client's point of maximal impulse (PMI). Which location should the nurse assess?
A. Second intercostal space, right sternal boarder.
B. Fourth intercostal space, left sternal boarder.
C. Second intercostal space, left sternal border.
D. Fifth intercostal space at the midclavicular line.
Answer: D
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A client has been taking NSAIDs for arthritic pain. For what should the nurse monitor the client?
1. Irregular heart rhythms 2. Occult blood in the stool 3. Tinnitus 4. Acoustic toxicity
To palpate and percuss the maxillary sinuses, the nurse would do which of the following? Select all that apply
a. Stand in front of the patient. b. Gently press the thumbs under the bony ridge of the upper orbits. c. Avoid applying pressure on the globes themselves. d. Observe for the presence of pain. e. Percuss the area using the thumb. f. Note the sound.
When examining a newborn, the nurse notes uneven skin folds of the buttocks and a click when performing the Ortolani maneuver. The nurse recognizes these findings as a sign that the newborn probably has:
1. polydactyly. 2. clubfoot. 3. hip dysplasia. 4. webbing.
A client with Parkinson's disease asks the nurse how his or her prescriptions will help him or her. Which response should the nurse provide?
A. "The prescriptions will help prevent muscle wasting." B. "The prescriptions will increase your appetite and energy." C. "The prescriptions will balance serotonin and acetylcholine in your brain." D. "The prescriptions will help you to eat and walk."