A nurse assesses a patient's dorsalis pedis pulse. If the pulse feels full and springlike even under moderate pressure, the nurse should document this finding as a:
a. weak pulse.
b. normal pulse.
c. thready pulse.
d. bounding pulse.
D
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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Documentation should include:
1. objective and subjective data. 2. observations made by other nursing staff. 3. information that is accurate and complete. 4. incidence reports.
A young mother asks the clinic nurse how her baby is going to learn to talk. What would the nurse answer? (Select all that apply.)
A) Pretending B) Watching C) Interacting with the environment D) Listening E) Overcoming frustration
Which of the following statements made by a client's family is the most reliable for use in the evaluation of a client's outcome?
1. "Mom has been eating 90% of all of her meals since she's been home." 2. "My daughter is in much less pain now that she is going to physical therapy." 3. "My husband has been less depressed since he's been on that antidepressant pill." 4. "Mom has been so much better since she's been able to get up and walk by her-self."
At what age do most children have an adult concept of death as being inevitable, universal, and irreversible?
a. 4 to 5 years b. 6 to 8 years c. 9 to 11 years d. 12 to 16 years