The nurse finds a client's pulse to be very weak, but palpable. Documentation should note that this pulse is:

hypovolemic.

bradycardic.

deficient.

thready.

Answer and Explanation

The Correct Answer is D

D. A "thready" pulse is weak and difficult to palpate. It feels like a fine thread or string under the fingertips and suggests poor cardiac output or decreased peripheral perfusion. A thready pulse is palpable but weak, indicating inadequate stroke volume with each heartbeat.

A. Hypovolemic refers to a state of decreased blood volume, which can lead to a weak and rapid pulse due to reduced blood flow through the arteries. However, it does not specifically describe the quality of the pulse that is palpable.

B. Bradycardia refers to a slow heart rate, typically below 60 beats per minute in adults. A bradycardic pulse may be slow but can still be strong or weak depending on the underlying cause. It does not specifically describe the quality of a weak but palpable pulse.

C. "Deficient" is not a commonly used term to describe the quality of a pulse. It does not provide specific information about the palpable nature or strength of the pulse.

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Correct Answer is ["A","B","C","D","E"]

Explanation

A. Previous experiences with pain can significantly influence how individuals perceive and respond to pain in the future. Positive experiences may lead to better coping strategies, while negative experiences could increase fear and anxiety associated with pain.

B. Cultural beliefs, norms, and practices surrounding pain vary widely across different societies. Culture shapes how individuals express pain, interpret pain severity, and seek treatment. For instance, some cultures may encourage stoicism in the face of pain, while others may emphasize the importance of verbalizing discomfort.

C. Socioeconomic status can impact access to healthcare resources, including pain management options. Higher SES individuals may have better access to healthcare facilities, medications, and therapies, whereas lower SES individuals may face barriers to adequate pain relief due to financial constraints or limited healthcare services.

D. Emotional states such as anxiety, depression, stress, and fear can significantly influence the perception and experience of pain. These emotions can amplify pain perception and interfere with pain management strategies. Conversely, positive emotions and a sense of well-being may help reduce the intensity of pain.

E. Age-related factors can affect how pain is perceived and managed. Children and older adults, for example, may experience pain differently due to developmental stages, cognitive abilities, and physiological changes. Pain assessment and management approaches need to be tailored accordingly to address age-specific considerations.

A. Bronchovesicular B. Vesicular C. Bronchial D. Crackles

Correct Answer is B

Explanation

B. Heard over most of the lung fields, except for the major bronchi and the trachea.

Low intensity and pitch, with a longer inspiratory phase than expiratory phase. They are softer and more breezy in quality. Vesicular breath sounds are heard over the peripheral lung fields, including the apex (top) of the lungs.

A. Heard over the major bronchi, which are near the sternum and between the scapulae. They are of intermediate intensity and pitch, with equal inspiration and expiration phases. They are typically heard in the 1st and 2nd intercostal spaces along the sternal border and between the scapulae.

C. Heard over the trachea and larynx.

Characteristics: High intensity and pitch, with a short inspiratory phase and a longer expiratory phase. They are louder and harsher in quality, resembling the sound of air blowing through a hollow pipe.

D. Crackles are abnormal breath sounds that can be fine or coarse.

Fine crackles are high-pitched, short, popping sounds heard during inspiration, often due to fluid in the small airways or alveoli.

Coarse crackles are loud, low-pitched, bubbling sounds heard during inspiration, typically due to the presence of secretions in the larger airways.

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The nurse finds a client's pulse to be very weak, but palpable. Documentation should note that this pulse is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse notes that various factors influence a client's pain. Which of the following factors could be influencers of pain? (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","C","D","E"]

Explanation

When auscultating over the apex of the client's lung field, what breath sound should the nurse expect to hear?

Correct Answer is B

Explanation

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