When assessing the heart, the nurse inspects and palpitates which of the following?
Peritoneum and tricuspid area
Precordium and PMI
Precordium and apical heart rate
Peritoneum and left sternal border.
The Correct Answer is B
When assessing the heart, the nurse will inspect and palpate the precordium, which is the area of the chest overlying the heart, and the PMI (point of maximal impulse), which is the point on the chest where the heartbeat is the strongest. These assessments allow the nurse to gather information about the size, shape, and location of the heart and to detect any abnormalities in the heartbeat or rhythm. The peritoneum is a membrane lining the abdominal cavity and has no relevance in the assessment of the heart. The tricuspid area and left sternal border are areas of the chest that may be auscultated to assess heart sounds but are not palpated during a heart assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct procedure for straightening the ear canal of an adult is to gently pull the auricle (the cartilage portion of the outer ear) upward and backward.
It's important to note that the technique of pulling the pinna down and back is typically used for children under the age of 3, as their ear anatomy is different from that of adults. However, for adults, pulling the pinna down and back can close off the ear canal and make it more difficult to see inside. Therefore, it's important to use the correct technique based on the patient's age and anatomy.
Correct Answer is B
Explanation
When assessing the heart, the nurse will inspect and palpate the precordium, which is the area of the chest overlying the heart, and the PMI (point of maximal impulse), which is the point on the chest where the heartbeat is the strongest. These assessments allow the nurse to gather information about the size, shape, and location of the heart and to detect any abnormalities in the heartbeat or rhythm. The peritoneum is a membrane lining the abdominal cavity and has no relevance in the assessment of the heart. The tricuspid area and left sternal border are areas of the chest that may be auscultated to assess heart sounds but are not palpated during a heart assessment.
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