The most accurate pulse rate is obtained at which pulse site?
1. Radial
2. Apical
3. Brachial
4. Carotid
Correct Answer: 2
The apical pulse is the site that yields the most accurate pulse rate; however, it requires the use of a stethoscope.
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The nurse is admitting a client at 28 weeks' gestation to the Emergency Department following an episode of domestic abuse resulting in ecchymosis and lacerations. Which question is most critical to ask?
1. "What did you do to make your spouse so angry?" 2. "How many times has this happened in the past?" 3. "Do you have a safe place that you can go?" 4. "Will you be pressing charges against your spouse?"
What is the primary belief behind the evolution of the clinical microsystem as a nursing care delivery system?
1. Those who deliver the nursing care make the most educated decisions for a particular unit. 2. Clinical decisions are best made by the clients who are served by a particular unit. 3. Clinical decisions are best made by nursing leaders for all units within that particular hospital. 4. Nurses working in a particular service area are best suited to make decisions for the clients in that area.
At 3 a.m., when less restrictive methods fail, a physician orders restraints for an angry, aggressive client. To meet Joint Commission standards, at what time and by whom should a nurse expect an in-person client evaluation?
A. No later than 8 a.m., by a licensed independent practitioner or a clinical nurse specialist B. No later than 4 a.m., by a physician or a licensed independent practitioner (LIP) C. No later than 3:30 a.m., by a physician or the client's case manager D. No later than 6 a.m., by the psychiatrist or a clinical nurse specialist
Two physical changes that occur during the middle years are:
a. b. What will be an ideal response?