Proper alignment for a patient in sitting position includes which ...

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Proper alignment for a patient in sitting position includes which of the following? (Select all that apply.)
 
  a. Head erect
  b. Four-inch space between edge of seat and popliteal space
  c. Vertebrae straight
  d. Both feet elevated

Question 2

An expected outcome for a client after cardiac assessment is:
 
  A. Apical pulse rate is 58 beats per minute
  B. Carotid bruits present
  C. PMI palpable at left fifth intercostal space at midclavicular line
  D. Jugular veins distended with client in sitting position

[IAPPLET]

Answer to Question 1

A, C
Proper alignment for sitting position: head is erect, and vertebrae are in straight alignment. Body weight is evenly distributed on buttocks and thighs. Thighs are parallel and in horizontal plane. Both feet are supported on the floor, and ankles are comfortably flexed. A 2.5- to 5-cm (1- to 2-inch) space is maintained between the edge of the seat and the popliteal space on the posterior surface of the knee.

Answer to Question 2

C
C. Locate the PMI by palpating with fingertips along fifth intercostal space in midclavicular line.
A. Sinus bradycardia: Pulse rhythm is regular, but rate is slower than normal at 40 to 60 beats per minute
B. Place bell of stethoscope over each carotid artery, auscultating for blowing sound (bruit). Ask the client to hold a breath for a few heartbeats so that respiratory sounds will not interfere with auscultation. Narrowing of carotid artery's lumen by arteriosclerotic plaques causes disturbance in blood flow. Blood passing through narrowed section creates turbulence and emits blowing or swishing sound.
D. Normal veins are flat when client is sitting, and pulsations become evident as client's head is lowered.

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Thank you!

[IAPPLET]

Always glad to help...