What findings does the nurse expect when assessing the cardiovascular system of a healthy adult? Select the 3 correct answers. (Select All that Apply.)
Pulse of smooth contour with 2+ amplitude
Heart rate of 62 beats/min
S1 and S2 present with regular rhythm
Mild, pedal edema
Correct Answer : A,B,C
A. Pulse of smooth contour with 2+ amplitude. A normal pulse should have a smooth upstroke and downstroke with a moderate (2+) amplitude, indicating adequate blood flow and cardiac function.
B. Heart rate of 62 beats/min. A normal resting heart rate for a healthy adult range from 60 to 100 beats per minute. A heart rate of 62 bpm is within this normal range.
C. S1 and S2 present with regular rhythm. The first (S1) and second (S2) heart sounds should be audible and regular, indicating normal closure of the heart valves and a steady cardiac rhythm.
D. Mild, pedal edema. Pedal edema is not a normal finding in a healthy adult and may indicate fluid retention or cardiovascular issues such as heart failure or venous insufficiency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Brachial artery. The brachial pulse is commonly used in infants but is not the best choice for assessing circulation in an unconscious adult.
B. Carotid artery. The carotid artery is the preferred site for assessing a pulse in an unconscious adult because it is a central pulse with strong circulation, even in low-perfusion states.
C. Radial artery. The radial pulse is a peripheral pulse and may be difficult to palpate if the patient has poor circulation or cardiac arrest. The carotid pulse is more reliable in emergencies.
D. Apical artery. There is no apical artery; the apical pulse is auscultated over the heart with a stethoscope and is not used in emergency pulse checks.
Correct Answer is ["1.3"]
Explanation
Calculation:
Formula:
Dose to administer (mL) = Ordered dose (mcg) / Available dose (mcg/mL)
Given:
Ordered dose: 400 mcg.
Available dose: 300 mcg/mL.
Volume (mL) = 400 mcg / 300 mcg/mL
= 1.333... mL
Rounded to the nearest tenth: 1.3 mL.
The nurse will administer 1.3 mL of Neupogen.
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