A nurse is assisting with the care of a client who has developed cardiogenic shock. When evaluating circulation to the client’s brain, which of the following pulse sites should the nurse use?

Popliteal

Femoral

Carotid

Radial

Answer and Explanation

The Correct Answer is C

A.   Popliteal and femoral pulses are not typically used for assessing circulation to the brain.
B.   Femoral pulse is not commonly used for assessing brain circulation.
C.   The carotid pulse is commonly assessed to evaluate circulation to the brain, especially in emergency situations.
D.   Radial pulse is more commonly used to assess peripheral circulation in the arm.

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Correct Answer is A

Explanation

A. Elevating the head of the client's bed to 45° during meals helps prevent aspiration by promoting proper swallowing and reducing the risk of food or liquids entering the airway.
B. Instructing the client to tilt their head back while swallowing is not recommended, as it may increase the risk of aspiration.
C. Turning on the television during meals is unrelated to reducing the risk of aspiration pneumonia.
D. Providing the client with oral hygiene is important for overall health but does not specifically address the risk of aspiration pneumonia.

A. 1 medium apple B. 1 tbsp of cream cheese C. 3 oz of lean beef D. 1 cup of kale

Correct Answer is D

Explanation

A. Apples do not contain a significant amount of calcium.
B. Cream cheese is not a good source of calcium.
C. While lean beef is a source of protein, it does not provide a significant amount of calcium.
D. Kale is a leafy green vegetable rich in calcium and can be recommended to increase calcium intake in individuals with osteoporosis.

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A nurse is assisting with the care of a client who has developed cardiogenic shock. When evaluating circulation to the client’s brain, which of the following pulse sites should the nurse use?

Nursing Test Bank

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