During a shift assessment, the nurse is identifying the client's point of maximum impulse (PMI). Where will the nurse best palpate the PMI?
A) Left midclavicular line of the chest at the level of the nipple
B) Left midclavicular line of the chest at the fifth intercostal space
C) Midline between the xiphoid process and the left nipple
D) Two to three centimeters to the left of the sternum
Ans: B
Feedback:
The left ventricle is responsible for the apical beat or the point of maximum impulse, which is normally palpated in the left midclavicular line of the chest wall at the fifth intercostal space.
You might also like to view...
The critical care nurse is caring for a patient with a pulmonary artery pressure monitoring system. The nurse is aware that pulmonary artery pressure monitoring is used to assess left ventricular function
What is an additional function of pulmonary artery pressure monitoring systems? A) To assess the patient's response to fluid and drug administration B) To obtain specimens for arterial blood gas measurements C) To dislodge pulmonary emboli D) To diagnose the etiology of chronic obstructive pulmonary disease
A 77-year-old Hispanic Catholic nun (retired) who immigrated to the United States 15 years ago lives alone but in an apartment complex where her biological sister lives as well
She is being discharged home after a hospitalization for congestive heart failure with prescrip-tions for eight different medications. She is considered at risk for noncompliance due to contrib-uting factors that include: (Select all that apply.) a. language barrier. b. living alone. c. large number of medications. d. ethnic background. e. religious background.
While assessing the abdomen, the clinician deeply palpates the left lower quadrant of the abdomen, and this causes pain in the patient's right lower abdomen. This is most commonly indicative of:
A. Constipation B. Diverticulitis C. Appendicitis D. Hepatitis
A young man has just learned that his partner is pregnant. Which of the following statements re-garding his reaction to the pregnancy is true?
a. His reaction often depends on the nature of the relationship before the pregnancy. b. Most young men believe that fathering a child can make them feel manly. c. Most young men are not interested in their partner's pregnancy. d. His reaction often includes blaming the partner.