A nurse is assessing the radial pulse of a patient. The nurse would describe the pulse as brisk and would document this finding as a +2. What is the nurse's documentation describing?
Pulse rhythm
Pulse deficit
C. Pulse amplitude
Pulse arrhythmia
The Correct Answer is C
The correct answer is choice C, Pulse amplitude. Pulse amplitude is a measure of the strength of the pulse and is rated on a 0-4 scale, with 0 indicating no pulse and 4 indicating a bounding pulse. A brisk pulse with a +2 rating suggests a normal pulse strength that is easily felt and is not weak or bounding. Pulse rhythm describes the regularity or irregularity of the pulse beats and is not related to pulse strength. Pulse deficit refers to the difference between the apical and radial pulse rates and is determined by auscultating the apical pulse while simultaneously palpating the radial pulse. Pulse arrhythmia refers to an irregular pulse rhythm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
correct answers are:
A. Avoid caffeine beverages at least 4 to 6 hours before bedtime.
D Maintain a regular sleep-wake cycle.
E Engage in a regular exercise routine at least 3 hours before going to bed.
The nurse would suggest the client avoid caffeine beverages because caffeine is a stimulant that can keep the client awake. The nurse would also recommend maintaining a regular sleep-wake cycle because the body responds to consistent sleep and wake times, which can help promote restful sleep. Engaging in a regular exercise routine at least 3 hours before going to bed can help promote sleep by reducing stress and anxiety, and improving physical health. However, the nurse would not recommend taking 2-hour naps during the day, as this can interfere with the ability to sleep at night, and obtaining a massage, although it may be relaxing, may not directly promote sleep.
Correct Answer is ["0.2"]
Explanation
Each mL contains 5,000,000 units. Therefore, to administer 1,000,000 units, we need:
1,000,000 units / 5,000,000 units/mL = 0.2 mL
So, the nurse will give 0.2 mL of reconstituted penicillin G to the client.
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