The nurse prepares to assess the client's radial pulse. Which statement made by the nurse reflects a correct understanding of the procedure? "I will:
count the radial pulse for two minutes."
put my fingers on the "pinky" finger side of the wrist."
use my thumb to count the pulse."
count the pulse for 30 seconds and multiply the number by two
The Correct Answer is D
D. Counting the radial pulse for 30 seconds and then multiplying the count by two gives an estimate of the client's heart rate per minute (bpm). This method is efficient and commonly used in clinical practice, especially if the client's pulse is regular.
A. Counting the radial pulse for two minutes is unnecessarily long and not standard practice. Typically, the radial pulse is counted for either 30 seconds or 60 seconds (one minute) to determine the client's heart rate. Multiplying the count by two for a 30-second count or directly using the count for a 60- second count provides the client's beats per minute (bpm).
B. The radial pulse is assessed by palpating the radial artery on the thumb side (or lateral side) of the client's wrist. The nurse places the index and middle fingers gently over the radial artery and applies light pressure to feel the pulse rhythm and rate.
C. Using the thumb to count the pulse is not recommended because the thumb has its own pulse, which could interfere with accurately assessing the client's radial pulse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A. External rotation of the hip involves rotating the thigh outward away from the midline of the body. This movement occurs in the hip joint. External rotation is a component of hip range of motion.
B. Extension of the hip involves moving the thigh backward, straightening the leg from a flexed position. This movement also occurs in the hip joint. Extension is part of the hip's range of motion.
C. Adduction of the hip involves moving the thigh toward or across the midline of the body. It brings the leg closer to the midline. Adduction is another movement that is part of the hip's range of motion.
E. Flexion of the hip involves bringing the thigh toward the abdomen or bending the leg. It is a movement where the angle between the thigh and the abdomen decreases. Flexion is a fundamental movement of the hip joint.
D. Supination is a movement primarily associated with the forearm and hand, involving turning the palm upward or facing forward. It is not a movement of the hip joint. Supination is not correct in the context of hip range of motion.
Correct Answer is ["A","D"]
Explanation
A. Overweight or obesity is a modifiable risk factor. It can be addressed through lifestyle changes such as diet modification, increased physical activity, and behavioral interventions aimed at weight loss.
D. Smoking is a modifiable risk factor. It is within an individual's control to quit smoking, which can significantly reduce the risk of various health problems, including cancer.
B. A history of prostate cancer is not a modifiable risk factor. Once a person has had prostate cancer, it cannot be changed through lifestyle modifications or interventions.
C. Being male is a non-modifiable risk factor for prostate cancer. Gender is determined biologically and cannot be changed.
E. Age is a non-modifiable risk factor. As individuals age, they are naturally at higher risk for certain health conditions, including prostate cancer. Age cannot be changed through interventions.
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