The nurse could best auscultate the point of maximum impulse ...

[deesands]

The nurse could best auscultate the point of maximum impulse (PMI) in an 8-year-old child at the:
 
  1. Fourth intercostal space, left of the midclavicular line
  2. Fifth intercostal space, left of the midclavicular line
  3. Second intercostal space, right of the midclavicular line
  4. Third intercostal space, right of the midclavicular line

Question 2

The nurse suspects that the client may have vascular disease. During the examination, the nurse is alert to the client's complaints of:
 
  1. Headache, dizziness, and tingling of body parts
  2. Diplopia, floaters, and headaches
  3. Leg cramps, numbness of extremities, and edema
  4. Pain and cramping in the lower extremities relieved by walking

[lcapri7]

Answer to Question 1

ANS: 2
By the age of 7, a child's PMI is in the same location as in adults; that is, the fifth intercostal space, left of the midclavicular line. The PMI of an 8-year-old child is more likely to be located at the fifth intercostal space, left of the midclavicular line.
The PMI is not located to the right of the midclavicular line. The PMI of an infant is at the third or fourth intercostal space, left of the midclavicular line.

Answer to Question 2

ANS: 3
Leg cramps, numbness or tingling in extremities, sensation of cold hands or feet, pain in legs, or swelling or cyanosis of feet, ankles, or hands are indicative of vascular disease.
Headache, dizziness, and tingling of body parts are more likely associated with a neurological problem, not vascular disease. Diplopia, floaters, and headaches are indicative of an eye problem, not vascular disease. Pain and cramping in the lower extremities are usually worsened with activ-ity in vascular disease.

[deesands]

Thanks for the timely response, appreciate it

[debra928]

Excellent