A nurse is assisting in the care of a client who has developed cardiogenic shock.
Which pulse site should the nurse use when assessing circulation to the client’s brain?
Femoral
Radial
Carotid
Popliteal
The Correct Answer is C
Choice A rationale
The femoral pulse is located in the groin area and is often used during procedures or when other pulse sites are not available. It does not directly assess circulation to the brain.
Choice B rationale
The radial pulse, located on the thumb side of the wrist, is commonly used to measure heart rate but does not directly assess circulation to the brain.
Choice C rationale
The carotid pulse is located on either side of the neck below the jawline. It is one of the major arteries that supply blood to the brain. In an emergency, this pulse site is used to assess circulation to the brain.
Choice D rationale
The popliteal pulse is located behind the knee and is used to assess circulation to the lower leg. It does not directly assess circulation to the brain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
The Semi-Fowler’s position, while commonly used for patients with respiratory issues, is not the most effective position for relieving pain in acute pancreatitis.
Choice B rationale
Lying prone with a pillow under the abdomen is not typically recommended for acute pancreatitis pain relief.
Choice C rationale
Lying supine with legs elevated and head on a small pillow is not typically recommended for acute pancreatitis pain relief.
Choice D rationale
Sitting in a chair, leaning forward with a pillow for back support, is often recommended for pain relief in acute pancreatitis. This position can help decrease the pressure on the abdomen and relieve pain.
Correct Answer is D
Explanation
Choice A rationale
Taking two tablets every 15 minutes is not the recommended dosing for nitroglycerin. Overdosing can lead to hypotension and other side effects.
Choice B rationale
While the client should take the nitroglycerin sublingually, taking one tablet every 15 minutes up to 5 times is not the recommended dosing. This could lead to an overdose.
Choice C rationale
Nitroglycerin should be taken sublingually, not orally, for rapid absorption. Taking one tablet orally every hour up to 5 times is not the recommended dosing.
Choice D rationale
This is the correct dosing for nitroglycerin. If chest pain persists after the third dose, the client should seek immediate medical attention.
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