A nurse is preparing to take a client's apical pulse. The nurse ...

[@Brianna17]

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

Question 2

A nurse needs to provide tracheostomy care to a client at a health care facility. What should the nurse do before performing the tracheostomy care in order to provide continuity of care?
 
  A) Check the nursing care plan to determine the schedule for providing care.
  B) Avoid reviewing the client's records for documentation concerning previous care.
  C) Assess the condition of the dressing and skin around the tracheostomy tube.
  D) Determine the client's understanding of tracheostomy care.

[mbcrismon]

Answer to Question 1

D
The PMI is located at the fifth intercostal space at the midclavicular line.

Answer to Question 2

A
Feedback:
In order to provide continuity of care, the nurse should check the nursing plan to determine the schedule for tracheostomy care. The nurse should review the client's records for documentation concerning previous tracheostomy care, as it provides a database for comparison. In order to determine if the client needs skin care and change of dressing, the nurse should assess the condition of the dressing and the skin around the tracheostomy tube. Determining the client's understanding of tracheostomy care provides an opportunity for health teaching.

[@Brianna17]

Both answers were spot on, thank you once again

[mbcrismon]

Great! Please up vote