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 D
Explanation
A. 2+ Pitting Edema:This refers to moderate pitting edema where the indentation is approximately 4 mm and disappears within 10-15 seconds.
B. 3+ Pitting Edema:This refers to moderately severe pitting edema where the indentation is approximately 6 mm and may last longer than 1 minute but does not remain for as long as 4 minutes.
C. 1+ Non-Pitting Edema:This grade refers to mild pitting edema with a 2 mm indentation that quickly disappears within a few seconds.
D. 4+ Pitting Edema:4+ pitting edema is characterized by a very deep pit (approximately 8 mm) that may last 2-5 minutes or more. This matches the scenario where the pit is 8 mm deep and remains for 4 minutes.
Correct Answer is D
Explanation
The correct answer is choice D, alternating waves of air stimulate breathing. CPAP works by delivering a continuous stream of pressurized air through a mask, which is worn over the nose or nose and mouth while sleeping. This air pressure acts like a splint, holding the airway open and preventing it from collapsing during sleep. The alternating waves of air delivered by the CPAP machine help stimulate breathing, keeping the airway open and reducing the number of breathing pauses that occur during sleep. CPAP is a highly effective treatment for obstructive sleep apnea, a condition in which the airway becomes blocked during sleep, leading to breathing pauses and interrupted sleep. By keeping the airway open and stimulating breathing, CPAP helps to improve sleep quality, reduce daytime sleepiness, and improve overall health outcomes in people with sleep apnea.
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