This topic contains a solution. Click here to go to the answer

Author Question: A nurse is assessing the apical heart rate of a healthy person. In order to hear the heart beats ... (Read 243 times)

piesebel

  • Hero Member
  • *****
  • Posts: 565
A nurse is assessing the apical heart rate of a healthy person. In order to hear the heart beats loud and clear, where should the nurse place the stethoscope?
 
  A) Slightly below the left nipple
  B) Over the sternum at the midpoint between the nipples
  C) Four inches below the left clavicle
  D) On the center of the rib cage

Question 2

A client in a health care facility has had a urinary catheter in situ for the past several days.The client's nurse has amended the client's plan of care to reflect the use of the device.
 
  What nursing diagnosis is a priority in this aspect of the client's care? A) Risk for deficient fluid volume
  B) Risk for infection
  C) Risk for impaired mobility
  D) Risk for acute pain



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

CourtneyCNorton

  • Sr. Member
  • ****
  • Posts: 317
Answer to Question 1

A
Feedback:
The heart beats are best heard or felt in a healthy client slightly below the left nipple in line with the middle of the clavicle. The nurse does not place the stethoscope on the center of the rib cage, between the nipples, or 4 in. below the left clavicle to accurately assess the apical heart rate of a healthy person.

Answer to Question 2

B
Feedback:
Indwelling urinary catheters pose a high risk of infection; this risk must be addressed by providing meticulous nursing care. Catheters do not result in fluid volume deficit. The risk of infection is more likely a threat to the client than risks for pain and impaired mobility.





 

Did you know?

The most common treatment options for addiction include psychotherapy, support groups, and individual counseling.

Did you know?

Though the United States has largely rejected the metric system, it is used for currency, as in 100 pennies = 1 dollar. Previously, the British currency system was used, with measurements such as 12 pence to the shilling, and 20 shillings to the pound.

Did you know?

The eye muscles are the most active muscles in the whole body. The external muscles that move the eyes are the strongest muscles in the human body for the job they have to do. They are 100 times more powerful than they need to be.

Did you know?

Once thought to have neurofibromatosis, Joseph Merrick (also known as "the elephant man") is now, in retrospect, thought by clinical experts to have had Proteus syndrome. This endocrine disease causes continued and abnormal growth of the bones, muscles, skin, and so on and can become completely debilitating with severe deformities occurring anywhere on the body.

Did you know?

The average office desk has 400 times more bacteria on it than a toilet.

For a complete list of videos, visit our video library