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 D
Explanation
Choice A rationale
Decreased pressure in the cerebrospinal fluid (CSF) is not indicative of bacterial meningitis. In fact, increased CSF pressure is more commonly associated with meningitis due to inflammation and increased production of CSF. Monitoring CSF pressure helps diagnose and manage meningitis but decreased pressure would not support a bacterial meningitis diagnosis.
Choice B rationale
Decreased white blood cell (WBC) count in the CSF is not consistent with bacterial meningitis. Meningitis, especially bacterial, typically causes an increased WBC count in the CSF as the body responds to the infection. This increase in WBCs, particularly neutrophils, indicates the immune system's effort to combat the bacterial invasion. A decreased count would not align with this diagnosis.
Choice C rationale
Elevated glucose levels in the cerebrospinal fluid are not typical for bacterial meningitis. Bacterial infections usually consume glucose, leading to decreased glucose levels in the CSF. Elevated glucose levels could indicate other conditions or metabolic issues but would not support a bacterial meningitis diagnosis.
Choice D rationale
Elevated total protein in the cerebrospinal fluid supports the diagnosis of bacterial meningitis. In bacterial meningitis, the inflammation and increased permeability of the blood-brain barrier lead to elevated protein levels in the CSF. This finding, along with increased WBC count and decreased glucose levels, helps confirm the diagnosis of bacterial meningitis and guides appropriate treatment. .
Correct Answer is B
Explanation
Choice A rationale
Flushing the tube with only 2 ml of sterile water after administering all medications may not be sufficient to ensure the tube is completely clear. The recommended amount is usually more to ensure the tube is adequately flushed.
Choice B rationale
Allowing medications to flow into the tube by gravity is the correct method as it helps to ensure that the medications are delivered at a consistent rate without the risk of pushing too fast.
Choice C rationale
Crushing sustained-release tablets is contraindicated as it can alter the medication's release properties, leading to potential overdose or loss of efficacy.
Choice D rationale
Mixing all medications together prior to administration can cause interactions and alter the effectiveness or stability of the medications, which is not recommended.
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