How should the nurse assess the carotid pulse?
Palpate firmly with two fingers in the inguinal space between the umbilicus and the symphysis pubis
Palpate each carotid pulse independently, at the medial sternomastoid muscle
Place the finger tips gently between the bicep and tricep muscle
Place two fingers of each hand on the right and left side of the neck where bounding pulsation is noted
The Correct Answer is B
A. Palpate firmly with two fingers in the inguinal space between the umbilicus and the symphysis pubis:
That describes femoral pulse, not carotid.
B. Palpate each carotid pulse independently, at the medial sternomastoid muscle:
This ensures accurate palpation and prevents vagal stimulation or compromising blood flow to the brain.
C. Place the finger tips gently between the bicep and tricep muscle:
That describes assessment of the brachial pulse, not carotid.
D. Place two fingers of each hand on the right and left side of the neck where bounding pulsation is noted:
Never palpate both carotids simultaneously-it can decrease cerebral blood flow and cause syncope.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Bell of the stethoscope:
The bell is best for hearing low-pitched sounds like certain murmurs.
B. Palpation with the nurse's palm of the hand:
Palpation can detect thrills or vibrations but cannot auscultate murmurs.
C. Electrocardiography:
ECG records electrical activity but does not assess heart sounds.
D. Diaphragm of the stethoscope:
Best for high-pitched sounds like breath or bowel sounds, not low-pitched murmurs.
Correct Answer is ["A","D","E"]
Explanation
A. Protection from bacterial intrusion:
The skin is a first-line defense against infection.
B. Increasing dehydration through water loss:
Incorrect. The skin prevents excess water loss; it is a barrier, not a source of dehydration.
C. Decreasing the wastes excreted:
Incorrect. Skin helps excrete wastes (e.g., urea, salts), not reduce excretion.
D. Regulation of body temperature:
Skin sweats and vasodilates/vasoconstricts to maintain thermal balance.
E. Support of wound healing:
Skin contains cells involved in tissue regeneration and repair.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.