A nurse is unable to palpate a client's dorsalis pedis pulse. The nurse will next attempt to palpate the

Carotid pulse

Brachial pulse

Posterior tibialis

Femoral pulse

Answer and Explanation

The Correct Answer is C

A: This is not suitable for assessing circulation issues specifically in the lower extremities as it is located on the upper body.

B: This is not suitable for assessing circulation issues specifically in the lower extremities as it is located on the upper body.
C: Palpating the posterior tibialis pulse is a logical next step for checking lower extremity circulation, particularly when dorsalis pedis is not palpable, helping localize the evaluation of blood flow in the foot and ankle.
D: The femoral pulse is useful for broader leg circulation issues. However, it is less targeted than posterior tibialis for checking blood flow in the lower extremities.

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Correct Answer is D

Explanation

A: Sonorous wheezes are low-pitched sounds and do not describe fine rales.

B: Musical or whistling sounds typically describe wheezes which are continuous and not the discontinuous sound of rales.
C: Noisy, snoring sounds are characteristic of rhonchi, not rales.

D: Fine rales are high-pitched, brief, and discontinuous crackling sounds that are often likened to the sound of hair being rubbed between fingers, indicative of fluid in the small airways.

A. It is common for intestinal peristalsis to slow down as a person ages, causing problems with constipation. B. Aging patients always have difficulty having a bowel movement while hospitalized C. Elderly patients almost always abuse laxatives, which creates problems with constipation. D. In elderly patients, the rectal sphincter has lost elasticity, which decreases the sensation of urgency.

Correct Answer is A

Explanation

A: Due to age-related reductions in gastrointestinal muscle efficiency, which slows the digestive process and can lead to increased water absorption from stool.
B: Overstates the issue, not all elderly patients experience difficulties, and it does not account for individual variability or other influencing factors like diet and medication.
C: Misrepresents the frequency and reasons for laxative use among the elderly, not all of whom misuse these medications.
D: While changes in rectal sphincter elasticity can affect some elderly individuals, it is less commonly a direct cause of constipation compared to decreased peristalsis.

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A nurse is unable to palpate a client's dorsalis pedis pulse. The nurse will next attempt to palpate the

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Naxlex Comprehensive Predictor Exams

During auscultation, the nurse hears fine rales in the patient's lower lobes bilaterally. Fine rales are described as

Correct Answer is D

Explanation

During the physical assessment, the nurse asks an elderly female patient if she experiences constipation. The nurse knows that

Correct Answer is A

Explanation

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