The nurse is caring for a patient who lost consciousness and collapsed. Which site will be used to determine if the patient has a pulse?

Brachial artery

Carotid artery

Radial artery

Apical artery

Answer and Explanation

The Correct Answer is B

A. Brachial artery. The brachial pulse is commonly used in infants but is not the best choice for assessing circulation in an unconscious adult.
B. Carotid artery. The carotid artery is the preferred site for assessing a pulse in an unconscious adult because it is a central pulse with strong circulation, even in low-perfusion states.
C. Radial artery. The radial pulse is a peripheral pulse and may be difficult to palpate if the patient has poor circulation or cardiac arrest. The carotid pulse is more reliable in emergencies.
D. Apical artery. There is no apical artery; the apical pulse is auscultated over the heart with a stethoscope and is not used in emergency pulse checks.

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Correct Answer is D

Explanation

A. Listening as the patient inhales and then going to the next site during exhalation. This method does not allow for a complete assessment of breath sounds, as abnormalities may be present during either phase of respiration.
B. If the patient is modest, listening to sounds over his or her clothing or hospital gown. Clothing can muffle or distort breath sounds, leading to inaccurate assessments. The stethoscope should be placed directly on the skin.
C. Instructing the patient to breathe in and out rapidly while listening to the breath sounds. Rapid breathing may lead to hyperventilation and dizziness, and it can make it difficult to detect subtle abnormalities such as crackles or wheezes.
D. Listening to at least one full respiration in each location. This is the correct technique because it allows the nurse to fully assess breath sounds during both inhalation and exhalation, ensuring accurate identification of any abnormal sounds.

Correct Answer is ["0.5"]

Explanation

To determine the number of tablets per dose, use the formula:

Tablets per dose = Dose ordered/Dose available

Given:

Ordered dose = 400 mg
Available dose = 800 mg per tablet

Tablets per dose = 400mg/(800mg/tablet)

= 0.5 tablet

Thus, the nurse will administer 0.5 tablet per dose.

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The nurse is caring for a patient who lost consciousness and collapsed. Which site will be used to determine if the patient has a pulse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During auscultation of breath sounds, the nurse should correctly use the stethoscope in which of the following ways?

Correct Answer is D

Explanation

The physician orders acyclovir 400 mg po three times a day for herpes. The medication is supplied in 800-mg tablets. How many tablets will the nurse administer?

Correct Answer is ["0.5"]

Explanation

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