A nurse is assessing a client's circulatory system. Which of the following pulse sites should the nurse avoid assessing bilaterally at the same time?

Femoral

Popliteal

Brachial

Carotid

Answer and Explanation

The Correct Answer is D

Assessing the carotid pulse simultaneously on both sides of the neck can potentially lead to excessive pressure on the carotid arteries, which supply blood to the brain. This pressure can compromise blood flow to the brain and result in adverse effects, such as decreased blood supply and oxygenation to the brain tissues.

In clinical practice, it is generally recommended to assess the carotid pulse unilaterally, meaning one side at a time, to ensure adequate blood flow to the brain is maintained during the assessment. This allows for a proper evaluation of the pulse without interfering with the circulatory system.

The other choice are incorrect:

Femoral: Assessing the femoral pulse bilaterally at the same time is generally considered safe. The femoral artery is located in the groin area and provides blood supply to the lower

extremities. Bilateral assessment allows for comparison of pulses and evaluation of circulation in both legs.

Popliteal: The popliteal pulse is located behind the knee. Similar to the femoral pulse, assessing the popliteal pulse bilaterally at the same time is typically safe. It allows for comparison between both legs and evaluation of lower limb circulation.

Brachial: The brachial pulse is located in the upper arm and is commonly used for blood pressure measurement in clinical settings. Assessing the brachial pulse bilaterally at the same time is generally considered safe and is routinely done during blood pressure assessment.

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Correct Answer is ["2"]

Explanation

To determine the number of capsules the nurse will administer, we need to consider the dosage prescribed and the available strength of the capsules.

The prescription states: cephalexin (Keflex) 0.5 g p.o. qid (four times a day).

Given that the available strength of cephalexin capsules is 250 mg, we need to convert the prescribed dosage from grams (g) to milligrams (mg) to match the capsule strength.

1 g = 1000 mg

0.5 g = 0.5 * 1000 mg = 500 mg

Now we know that the prescribed dosage is 500 mg, and each capsule contains 250 mg.

To calculate the number of capsules needed, we divide the prescribed dosage by the strength of each capsule:

Number of capsules = Prescribed dosage / Capsule strength

Number of capsules = 500 mg / 250 mg

Number of capsules = 2

Therefore, the nurse will administer 2 capsules of cephalexin (Keflex) for each dose.

A. The client reports being unable to find anything meaningful within their life B. The client attributes life's problems to being without family support. C. The client is unable to find work and does not have enough money for housing D. The client states that they are discriminated against due to their country of origin. E. The client reports not belonging anywhere and is without family support

Correct Answer is ["B","C","D","E"]

Explanation

The client attributes life's problems to being without family support: Lack of family support can significantly impact an individual's mental health and well-being. It can lead to feelings of isolation, loneliness, and a lack of emotional support, potentially contributing to the development or exacerbation of mental illness.

The client is unable to find work and does not have enough money for housing: Financial instability, unemployment, and inadequate housing are social determinants of mental health. These factors can contribute to stress, anxiety, and a sense of hopelessness, which may impact the client's mental well-being.

The client states that they are discriminated against due to their country of origin: Experiencing discrimination based on one's country of origin can lead to feelings of marginalization, social exclusion, and psychological distress. Discrimination is a social factor that can contribute to the development of mental illness or exacerbate existing mental health conditions.

The client reports not belonging anywhere and is without family support: Feeling a lack of belonging or a sense of disconnectedness can have a negative impact on mental health. It can contribute to feelings of isolation, low self-esteem, and depression. Additionally, lacking family support further compounds the client's sense of not belonging, potentially affecting their mental well-being.

Incorrect:

The client reports being unable to find anything meaningful within their life: While this statement suggests a lack of purpose or fulfillment in the client's life, it does not specifically address social or cultural factors that could contribute to their mental illness. It may be important to explore further during the assessment to identify underlying issues, but it does not fall under the social/cultural category.

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A nurse is assessing a client's circulatory system. Which of the following pulse sites should the nurse avoid assessing bilaterally at the same time?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Order: cephalexin (Keflex) 0.5 gp.o. qid. Available: cephalexin (Keflex) 250 mg capsules. How many capsules will the nurse administer?

Correct Answer is ["2"]

Explanation

The nurse is performing an admission assessment for a client admitted to the behavioral health unit. Which social/cultural category will the nurse document that may be contributing to the client's degree of mental illness? Select all that apply. (Select All that Apply.)

Correct Answer is ["B","C","D","E"]

Explanation

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