A nurse is assisting with the care of a client who has developed cardiogenic shock. When evaluating circulation to the client’s brain, which of the following pulse sites should the nurse use?

Popliteal

Femoral

Carotid

Radial

Answer and Explanation

The Correct Answer is C

A.   Popliteal and femoral pulses are not typically used for assessing circulation to the brain.
B.   Femoral pulse is not commonly used for assessing brain circulation.
C.   The carotid pulse is commonly assessed to evaluate circulation to the brain, especially in emergency situations.
D.   Radial pulse is more commonly used to assess peripheral circulation in the arm.

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Correct Answer is D

Explanation

A. Diminished urine output is a later sign of hypovolemic shock and is associated with decreased perfusion to the kidneys.
B. Cold clammy skin is also a later sign of shock, indicating poor tissue perfusion.
C. Unconsciousness is a late sign of hypovolemic shock and occurs when there is significant impairment of cerebral perfusion.
D. Tachycardia is an early compensatory mechanism in response to hypovolemia, aiming to maintain cardiac output and perfusion to vital organs.

A. Apply a heat pack with a temperature below body temperature. B. Elevate the affected joint on large pillows C. Take acetaminophen as the primary medication to treat the pain D. Decrease foods high in purines

Correct Answer is A

Explanation

A. Heat application can help relieve pain and stiffness associated with osteoarthritis.
However, it is important to use a heat pack with a temperature below body temperature to avoid skin burns.
B. Elevation is generally more relevant for conditions involving swelling, and it may not be the primary recommendation for osteoarthritis.
C. Acetaminophen is a common pain reliever, but other medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) may also be used for osteoarthritis pain management.
D. Decreasing foods high in purines is more relevant for conditions like gout, which is not typically associated with osteoarthritis.

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A nurse is assisting with the care of a client who has developed cardiogenic shock. When evaluating circulation to the client’s brain, which of the following pulse sites should the nurse use?

Nursing Test Bank

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