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 C

Explanation

A. Shock typically results in tachycardia as the body compensates for decreased perfusion.
B. In shock, there is often decreased urine output due to decreased perfusion to the kidneys.
C. A hallmark sign of shock is low blood pressure as a result of inadequate tissue perfusion.
D. Bowel sounds may be diminished rather than hyperactive in cases of shock.

A. FACES B. Oucher C. Visual Analog Scale D. FLACC

Correct Answer is D

Explanation

A. The FACES scale is typically used with older children who can express their pain using facial expressions.
B. The Oucher scale is a self-report scale that relies on the child's ability to match their pain level to a set of standardized photographs.
C. The Visual Analog Scale is used with older children and adults but is not appropriate for infants.
D. The FLACC scale (Face, Legs, Activity, Cry, Consolability) is specifically designed for infants and nonverbal children, taking into account their facial expressions, leg movement, activity level, cry, and consolability.

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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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