A nurse is assessing a client's circulatory system. Which pulse site should the nurse avoid assessing bilaterally at the same time?

Carotid

Radial

Brachial

Answer and Explanation

The Correct Answer is A

A. The carotid pulse should not be assessed bilaterally at the same time, as simultaneous palpation can lead to a decrease in heart rate or cause syncope due to stimulation of the carotid sinus.

B. The radial pulse can be assessed bilaterally without risk.

C. The brachial pulse can also be assessed bilaterally without concern.

D. The femoral pulse is typically assessed one side at a time, but there is no risk in palpating both femoral arteries simultaneously as there is with the carotid.

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Correct Answer is C

Explanation

A. Restlessness is an objective sign that may indicate pain, but it is not a subjective report from the client.

B. Pupil dilation is an objective physiological response often associated with pain or stress, not a subjective indicator.

C. A report of a burning sensation is a subjective indicator because it is based on the client’s own description of their pain experience.

D. Grimacing is an objective observation by the nurse, not a subjective report from the client.

A. an element of only objective data collection B. the responsibility of trained family members or next of kin C. concerned with collecting only subjective data D. The professional responsibilities of trained healthcare providers

Correct Answer is D

Explanation

A. Providing a safe and comfortable environment and applying critical thinking involves both objective and subjective data collection, not just one type.

B. While family members can contribute to patient care, the professional responsibilities of providing a safe environment and critical thinking in assessments fall to trained healthcare providers.

C. This process encompasses both subjective and objective data, as critical thinking requires integrating multiple types of information.

D. The actions described are essential professional responsibilities of trained healthcare providers, who must ensure a safe environment, apply critical thinking, and identify patient cues effectively.

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A nurse is assessing a client's circulatory system. Which pulse site should the nurse avoid assessing bilaterally at the same time?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client for manifestations of pain. Which finding is a subjective indicator of pain?

Correct Answer is C

Explanation

Providing a safe and comfortable environment, applying critical thinking, and identifying cues presented by the patient is

Correct Answer is D

Explanation

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