As part of the general physical assessment of a patient with cardiac disease, the nurse assesses central and peripheral pulses. What is the most accurate statement about pulse assessment?
A) All pulses should be assessed bilaterally at the same time.
B) A pulse that is weak and thready would be scaled +4.
C) Pulsus alternans varies in intensity with every other beat.
D) Absence of posterior tibial pulses is a normal variant.
C
You might also like to view...
A(n) __________ is a circumscribed loss of tissue in an area of the GI tract that is in contact with hydrochloric acid and pepsin
Fill in the blank(s) with correct word
The nurse works in a clinic and is seeing Joseph Red Hawk, an American Native who has just been diagnosed with diabetes. Which of the following is a recommended guideline for the nurse prior to performing an assessment of this client?
A) Decide to treat him exactly like every other client B) Research Native American customs to ensure compatibility with the interviewing style C) Practice techniques to use on Mr. Red Hawk, including establishing eye contact and using touch D) Make a list of questions to ask Mr. Red Hawk to facilitate therapeutic communication
A nurse is interviewing a client about his sleep patterns. He tells the nurse that he goes to bed about 11 p.m. and usually falls asleep by 11:15 p.m. The nurse identifies this time period as which of the following?
A) Sleep latency B) Sleep architecture C) Sleep efficiency D) Slow-wave sleep
Which of the following actions is the first priority of care for a client exhibiting signs and symptoms of coronary artery disease?
A) Decrease anxiety B) Enhance myocardial oxygenation C) Administer sublingual nitroglycerin D) Educate the client about his symptoms