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. The first-line treatment for anaphylactic shock is epinephrine, as it rapidly reverses the severe manifestations of an allergic reaction.
B. Albuterol is a bronchodilator and may help with respiratory symptoms but is not the first-line treatment for anaphylaxis.
C. Steroids like hydrocortisone may be used in conjunction with epinephrine but are not the immediate first choice.
D. Diphenhydramine may be used to manage symptoms but is not as rapidly effective as epinephrine.

A. A single dose of diazepam is unlikely to cause side effects. B. Diazepam can cause drowsiness. C. Avoid foods that contain tyramine. D. Grapefruit juice inactivates this medication.

Correct Answer is B

Explanation

A. Diazepam can cause side effects, especially drowsiness, even with a single dose.
B. One of the common side effects of diazepam is drowsiness, and the client should be advised not to operate heavy machinery or engage in activities requiring alertness until the effects are known.
C. Avoiding foods that contain tyramine is more relevant for certain antidepressant medications, not diazepam.
D. Grapefruit juice is known to interact with certain medications, but it does not inactivate diazepam.

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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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