The health care provider has written an order to measure a client's apical pulse every 8 hours. Using anatomical landmarks, which of the following best describes where the nurse should place the stethoscope to obtain this measurement?

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Question 1 of 5

The health care provider has written an order to measure a client's apical pulse every 8 hours. Using anatomical landmarks, which of the following best describes where the nurse should place the stethoscope to obtain this measurement?

Correct Answer: C

Rationale: The apical pulse, or point of maximal impulse (PMI), is located at the left fifth intercostal space at the midclavicular line, reflecting left ventricular function. Options with the third intercostal space or right of the sternum are incorrect, as they do not align with this anatomical landmark. (Source: Document, p. 62, Apex description)

Question 2 of 5

Which statement about heparin is false?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

Release of chemical substances from damaged tissues starts the:

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A nurse is teaching a client with venous insufficiency about the application and use of TED hose to promote circulation and venous return. Which of the following statements by the client indicates that more teaching is needed?

Correct Answer: A

Rationale: Anti-embolism stockings (TED hose) are medical-grade, designed to apply graduated pressure to improve venous return and reduce clot risk. Substituting pantyhose (A) lacks this therapeutic effect, indicating misunderstanding. Keeping stockings smooth (B), removing daily (C), and checking fit (D) show correct understanding. (Source: Document, p. 2)

Question 5 of 5

Put these parts of the electrical conducting system of the heart in the correct order for conduction of the cardiac impulse: 1. Atrioventricular node, 2. Atrioventricular (AV) bundle (bundle of His), 3. Left and right bundle branches, 4. Sinoatrial node, 5. Purkinje fibres

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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