A nurse is preparing to collect data from a school-age child.
Which of the following areas should the nurse palpate to find the radial pulse?
Palpate the wrist.
Palpate the inner side of the elbow.
Palpate the neck.
Palpate the upper arm.
The Correct Answer is A
Choice A rationale
The radial pulse is palpated at the wrist, on the thumb side. This is the most common site for checking pulse in a school-age child.
Choice B rationale
The inner side of the elbow is where the brachial pulse is palpated, commonly used for blood pressure measurements.
Choice C rationale
The neck is where the carotid pulse is palpated, generally used in emergencies when the radial pulse is not palpable.
Choice D rationale
The upper arm is where the brachial artery is located but is not used to measure the radial pulse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Telling a child that "This should not have happened to you" acknowledges the injustice of the situation. While this statement can validate the child's feelings, it may not provide the necessary comfort and reassurance that the child needs in the moment.
Choice B rationale
Promising not to tell anyone about the abuse is inappropriate and unethical. As a mandated reporter, the nurse has a legal and ethical obligation to report suspected child abuse to the appropriate authorities. Making such a promise can hinder the necessary investigation and protection of the child.
Choice C rationale
Informing the child that "It is not your fault that this happened" is essential in alleviating feelings of guilt and shame that the child may have. It helps the child understand that they are not to blame for the abuse and that they are not responsible for the actions of the abuser. This reassurance is crucial for the child's emotional healing.
Choice D rationale
Telling the child "You should have told someone about this sooner" can place undue blame and guilt on the child. Children who experience abuse often feel fear, shame, and confusion, which can prevent them from disclosing the abuse. It is important to provide a supportive and non-judgmental environment to encourage the child to share their experiences.
Correct Answer is A
Explanation
Choice A rationale
The radial pulse is palpated at the wrist, on the thumb side. This is the most common site for checking pulse in a school-age child.
Choice B rationale
The inner side of the elbow is where the brachial pulse is palpated, commonly used for blood pressure measurements.
Choice C rationale
The neck is where the carotid pulse is palpated, generally used in emergencies when the radial pulse is not palpable.
Choice D rationale
The upper arm is where the brachial artery is located but is not used to measure the radial pulse.
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