A nurse is preparing to take a client's apical pulse. The nurse places the stethoscope at the point of maximal impulse (PMI) at the:
a. sternum c. right of the midclavicular line
b. suprasternal notch d. fifth intercostal space
D
The PMI is located at the fifth intercostal space at the midclavicular line.
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MC When a client becomes angry, your best intervention is to
A. Isolate the client until he calms down. B. Explore actions that meet the client's needs. C. Tell the client to stop the behavior if he expects a response from you. D. Remove the client from his room and take him to a quiet place.
The nurse is preparing to perform an abdominal assessment of a newly admitted patient. When performing an abdominal assessment, what examination sequence should the nurse follow?
A) Inspection, auscultation, percussion, and palpation B) Inspection, auscultation, palpation, and percussion C) Inspection, percussion, palpation, and auscultation D) Inspection, palpation, percussion, and auscultation
Nursing intensity is the ____
a. Amount of time a nurse needs to meet the patients' care requirements b. Nursing staffing for a shift on a particular nursing unit c. Amount of time a nurse spends when a sentinel event occurs d. Amount of time a patient needs for nursing care during their hospital admission
A person has fecal incontinence. The following measures are part of the care plan. Which should you question?
a. Assist with elimination only after meals. b. Assist with elimination every 2 to 3 hours. c. Give good skin care. d. Empty ostomy pouch when feces are pre-sent.