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?

Carotid

Brachial

Popliteal

Femoral

Answer and Explanation

The Correct Answer is A

A. Carotid

The nurse should avoid assessing the carotid pulses bilaterally at the same time. The carotid arteries are major blood vessels supplying the head and neck with oxygenated blood. Simultaneously assessing both carotid pulses could potentially compromise blood flow to the brain, leading to a decrease in cerebral perfusion. This is particularly important in individuals with a history of cerebrovascular disease or other conditions affecting blood flow to the brain.

B. Brachial:

Assessing the brachial pulses bilaterally at the same time is generally acceptable. The brachial pulses are located in the upper arms.

C. Popliteal:

Assessing the popliteal pulses bilaterally at the same time is generally acceptable. The popliteal pulses are located behind the knee.

D. Femoral:

Assessing the femoral pulses bilaterally at the same time is generally acceptable. The femoral pulses are located in the groin area.

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is ["6"]

Explanation

To calculate the amount of ampicillin needed for one dose, we need to use a proportion. We can set up the proportion as follows:

150 mg / x mL = 125 mg / 5 mL

We can cross-multiply and solve for x:

150 * 5 = 125 * x

750 = 125 * x

x = 750 / 125

x = 6

Therefore, we need 6 mL of ampicillin for one dose

A. An incident report was completed B. There were no injuries sustained C. The provider was notified D. An incident report was forwarded to risk management

Correct Answer is C

Explanation

Correct Answer: C

C. The provider was notified.The nurse should document objective facts, such as notifying the provider, in the client’s medical record. This ensures accurate communication about the client's condition and the steps taken after the fall.

Incorrect answers:

A."An incident report was completed."The completion of an incident report should not be documented in the medical record. Incident reports are internal documents used for quality improvement and risk management, and mentioning them in the medical record could make them discoverable in legal proceedings.

B."There were no injuries sustained."While documenting the client’s physical condition is appropriate, stating "no injuries sustained" might be premature or subjective. Instead, the nurse should record specific observations, such as "client denies pain" or "no visible signs of injury noted."

D."An incident report was forwarded to risk management.Referencing the incident report in the medical record is inappropriate. Incident reports are separate from the client’s medical record and should not be mentioned in the documentation.

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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: Ampicillin (Principen) 150 mg PO every 6 hours Available: Ampicillin (Principen) 125mg per 5 ml How many mL of ampicillin are needed for one dose? ( Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero. TYPE THE ANSWER ONLY, no label )

Correct Answer is ["6"]

Explanation

Correct Answer is C

Explanation

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