As a nurse you will be assessing the apical pulse during a head-to-toe assessment and before administering medications like Digoxin. In an adult, a normal apical pulse is 60-100 beats per minute
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Where is the apical pulse located? It is located on the left side of the chest at the 5th intercostal space (ICS) at the midclavicular line.

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اقدم لكم متابعي وطلابي الكرام مجموعة قيمة جدا من الاسئلة والمعلومات حول موضوع الحروق أ.عمر حماد Question 1 : A client is admitted to the emergency room with partial-thickness burns to his right arm and full thickness burns to his trunk . According to the Rule of Nines , the nurse calculates the total body surface area (TBSA)involved as : A-20% B-35% C-45% D-60% Correct Answer : According to the rule of Ninees ,the arm (9%)+ the trunk (36%)=45 % Remember head & neck =9% right arm = 9% left arm = 9% torso front TOTAL FRONT TORSO 18% : chest 9% abdomen 9% back torso TOTAL BACK TORSO 18% : upper back 9% lower back 9% right leg TOTAL right LEG 18% : front 9% back 9% left leg TOTAL left LEG 18% : front 9% back 9% genetalia = 1% Question 2 :A client is admitted with burns of the right arm, ِAnterior chest, and head. According to the Rule of Nines, the percent of burn injury is: A-18% B-27% C-36% D-45% Correct Answer : 27% Burn injury o
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         من المهم جدا ان تكون قادرا على تحديد مواقع اصوات القلب الناتجة عن انغلاق صمامات القلب المختلفة Question :When locating Erb’s point to hear aortic and pulmonic sounds, the nurse should place the stethoscope at the: A. fifth intercostal space near the midclavicular line. B. fifth intercostal space along the left sternal border. C. second intercostal space at the left sternal border. D. third intercostal space at the left sternal border.   Correct answer: D Erb’s point is located at the third intercostal space at the left sternal border.  The fifth intercostal space near the midclavicular line (Option A) is used to listen to the mitral area.  The fifth intercostal space along the left sternal border (Option B) is the location for the tricuspid area.  The second intercostal space at the left sternal border (Option C) is the location for the pulmonic area.
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The nurse teaches the patient whose surgery will result in a sigmoid colostomy that the feces expelled through the colostomy will be solid. semi-mushy. mushy. fluid.      Correct Answer : A. solid.    With a sigmoid colostomy, the feces are solid.  With a descending colostomy, the feces are semi-mushy.  With a transverse colostomy, the feces are mushy.  With an ascending colostomy, the feces are fluid.
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