Which does the nurse implement to locate the adult client's apical pulse?
1. Percusses the left ventricular wall.
2. Palpates along the left sternal border.
3. Directs client to lie in supine position.
4. Listens at fifth intercostal space at PMI.
4
4. To locate the apical pulse, the nurse locates the fifth intercostal space on the left midclavicular line; this point should coincide with the client's PMI.
1. Evaluation of the heart rarely includes percussion.
2. Palpation along the left sternal border reveals cardiac thrusts and thrills; however, the apical pulse is not proximate to the sternal border.
3. The nurse positions the client with the head of the bed at 30 degrees for client comfort and to facilitate cardiac assessment.
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