Question

The nurse is performing an assessment of the patient's heart. Where would the nurse locate the apical pulse if the heart is in a normal position?

A) 2nd intercostal space, right sternal border
B) 2nd intercostal space, left sternal border
C) 5th intercostal space, midclavicular line
D) 4th intercostal space, midaxillary line

Answer 1

The nurse would locate the apical pulse in the 5th intercostal space, midclavicular line.

Step-by-step explanation:

The nurse would locate the apical pulse in the 5th intercostal space, midclavicular line. This is where the apex of the heart is located, which is the point of maximum impulse. By placing a stethoscope in this location, the nurse can assess the heart sounds and determine its rhythm and rate.