A nurse plans to take a patient's radial pulse. Which method of examination should be used by the nurse?
Auscultation
Percussion
Palpation
Inspection
The Correct Answer is C
A. Auscultation. Auscultation involves listening to internal body sounds, usually with a stethoscope, such as heart, lung, or bowel sounds. It is not used for assessing the radial pulse.
B. Percussion. Percussion is the technique of tapping on body surfaces to assess underlying structures, such as detecting fluid in the lungs or assessing organ size. It is not used to assess pulses.
C. Palpation. Palpation involves using the fingers to feel for the radial pulse by applying gentle pressure over the radial artery at the wrist. This is the correct method for assessing a patient's radial pulse.
D. Inspection. Inspection involves visually examining the patient for abnormalities such as skin color, swelling, or deformities. It does not provide information about pulse rate or rhythm.
Nursing Test Bank
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Related Questions
Correct Answer is B
Explanation
A. Axillary. The axillary method is less accurate because it measures surface temperature, which can be influenced by environmental factors and is typically lower than core temperature.
B. Rectal. The rectal route provides the most accurate core temperature measurement because it closely reflects internal body temperature and is less affected by external conditions. It is commonly used in critically ill patients and infants when precise measurements are needed.
C. Forehead. Forehead (temporal artery) thermometers provide a non-invasive method of measuring temperature but can be less accurate due to external factors like sweating or ambient temperature changes.
D. Oral. Oral temperature is commonly used and provides a good estimate of core temperature, but factors like recent eating, drinking, or mouth breathing can affect accuracy. Rectal temperature remains the most precise method.
Correct Answer is A
Explanation
A. The patient's blood pressure must remain elevated during several separate assessments in order to make a diagnosis of hypertension. Hypertension is diagnosed based on persistently elevated blood pressure readings across multiple visits, rather than a single elevated measurement.
B. The patient appeared extremely stressed and the health care provider decided not to inform the patient of the diagnosis at that appointment. While stress can temporarily elevate blood pressure, a diagnosis should be based on multiple readings rather than withholding information from the patient.
C. The patient's primary health care provider must consult with a cardiologist in order to make a diagnosis of hypertension. A cardiology consult is not required to diagnose hypertension; primary care providers can diagnose and manage hypertension independently.
D. The patient's blood pressure must be at least 180/100 during a single assessment in order for a diagnosis of hypertension to be made. A reading of 180/100 mmHg indicates hypertensive crisis, but hypertension is diagnosed when blood pressure is consistently ≥140/90 mmHg on multiple occasions.
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