Questions and Answers
What is the range for a normal apical pulse?
For which patient would the nurse take an apical pulse?
The apical pulse is always auscultated (listened to) on the left side of the chest.
True
The apical pulse is auscultated over the 3rd intercostal space.
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Which part of the stethoscope is placed on the chest to hear the apical pulse?
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Study Notes
Apical Pulse Overview
- Normal apical pulse range for healthy adults is 60-100 bpm.
- Apical pulse measurement involves auscultating the heart, primarily done on the left side of the chest.
Patient Assessment
- Apical pulse should be taken for:
- Patients with a history of heart failure.
- Patients taking Digoxin, especially if heart rate is below 60 bpm per MAR guidelines.
- Patients exhibiting an irregular radial pulse, such as a pulse rate of 106 bpm.
Auscultation Details
- The apical pulse is always auscultated on the left side of the chest; this is where the heart's point of maximal impulse (PMI) is located.
- The correct landmark for auscultation is at the left midclavicular line, specifically in the fifth intercostal space.
- For detecting the apical pulse, use the diaphragm of the stethoscope, which is preferred for most assessments, including lung and bowel sounds; the bell is used for higher-pitched sounds.
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Description
This quiz covers important aspects of measuring the apical pulse, including the normal range and specific patient circumstances that require this assessment. You'll learn about auscultation techniques and the significance of the apical pulse in patient care, particularly in those with heart conditions.
