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 262 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?

Cucumber slices relieve headaches by tightening blood vessels, reducing blood flow to the area, and relieving pressure.

Did you know?

Lower drug doses for elderly patients should be used first, with titrations of the dose as tolerated to prevent unwanted drug-related pharmacodynamic effects.

Did you know?

There are 20 feet of blood vessels in each square inch of human skin.

Did you know?

Allergies play a major part in the health of children. The most prevalent childhood allergies are milk, egg, soy, wheat, peanuts, tree nuts, and seafood.

Did you know?

Blastomycosis is often misdiagnosed, resulting in tragic outcomes. It is caused by a fungus living in moist soil, in wooded areas of the United States and Canada. If inhaled, the fungus can cause mild breathing problems that may worsen and cause serious illness and even death.

For a complete list of videos, visit our video library