The nurse is aware that cardiovascular changes are part of the normal aging process
This nurse would consider the position of a patient's point of maximal impulse (PMI) normal if it was found at the midclavicular line (MCL) in which intercostal spaces (ICS)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Third
2. Fifth
3. Sixth
4. Seventh
5. Fourth
2,3
Rationale 1: The third ICS is too high for a normal PMI.
Rationale 2: The normal location of the PMI is the fifth ICS, MCL.
Rationale 3: In a younger adult, if the PMI is found in the sixth ICS, MCL, the nurse suspects cardiomegaly. In an older adult, this may be a normal finding.
Rationale 4: If the PMI is found in the seventh ICS, MCL, the nurse would suspect cardiomegaly.
Rationale 5: The fourth ICS is too high for a normal PMI.
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During report, the nurse learns that a patient has a Trousseau sign. The nurse would also expect this patient to exhibit:
A) muscle weakness. B) hypertension. C) hypoactive bowel sounds. D) tetany.
A patient has had frequent episodes of tonsillitis, and a tonsillectomy is recommended. The nurse clarifies that the criteria for considerations of a tonsillectomy are all of the following except:
1. peritonsillar abscess. 2. airway obstruction caused by enlarged tonsils. 3. hearing loss associated with enlarged tonsils. 4. sore throat.
Convenience sampling + stratification = what?
a. Stratified random sampling b. Quota sampling c. Purposive sampling d. Cluster sampling
What is the advantage of using classification systems such as NANDA, NIC, and NOC?
A) These classification systems clarify the nurse's role in the health care system. B) These classification systems reduce the amount of time needed in planning nursing care. C) These classification systems identify the language of nursing. D) These classification systems are consistent with nursing paradigms.