A nurse assesses a patient's dorsalis pedis pulse. If the pulse is easily felt but not palpable when moderate pressure is applied, the nurse should document this finding as a:
a. weak pulse.
b. normal pulse.
c. thready pulse.
d. bounding pulse.
B
A thready pulse is difficult to feel and is not palpable when only slight pressure is applied. A weak pulse is somewhat stronger than a thready pulse but not palpable when light pressure is applied. A normal pulse is easily felt but not palpable when moderate pressure is applied. A bounding pulse feels full and springlike even under moderate pressure.
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A patient is given Abelcet instead of amphotericin B. What is the advantage of Abelcet over amphotericin B?
A) It is a newer medication with a lower cost. B) It is the same as amphotericin B in hepatotoxicity. C) It reaches higher concentration in diseased tissue. D) It constricts afferent renal arterioles to reduce blood flow.
A patient with lymphangitis is experiencing lymphedema. The nurse is aware that the lymphedema may be due to:
A) Obstructed lymph vessels B) Sensitivity to antibiotics C) Accumulation of blood D) Improper anticoagulant use
The process by which a nurse uses purposeful thinking, informed reasoning, reflections, and thinking about thinking in clinical situations is called
a. clinical judgment. b. critical thinking. c. decision making. d. problem solving.
Local tissue injury response from burns becomes systemic when more than what percentage of the body is involved?
a. 5 c. 15 b. 10 d. 20