NURS 146 final (With complete solution)

To assess the effectiveness of cardiac compressions during adult cardiopulmonary resuscitation (CPR), a nurse should palpate which pulse site? a. Carotid b. Radial c. Brachial d. Popliteal correct answers a. carotid A nurse prepares to auscultate a client's carotid arteries for bruits. For this procedure, the nurse should a. use the bell of the stethoscope b. Palpate radial artery c. Eat Tacos with salsa d. Watch a fun movie correct answers a. use the bell of the stethoscope A client is transferred to the acute stroke unit, and the nurse initiates a neurologic flow sheet to provide ongoing data about the recovery phase of care. The nurse is aware this information indicates what regarding a client's clinical status? a. changes in level of consciousness or responsiveness as evidenced by movement and orientation to time, place, and person b. quality and rate of pulses, respirations, and blood gas values c. alterations in speech and aphasic status d. whether blood pressure is maintained within the lower end of desired parameters correct answers a. changes in level of consciousness or responsiveness as evidenced by movement and orientation to time, place, and person A nurse assesses the client's pulse as weak and thready in both lower extremities. How would the nurse best document this finding? a. pulse amplitude +1 bilateral lower extremities b. pulse amplitude +2 bilaterally c. Rich quality of pulse present d. No pulse present correct answers a. pulse amplitude +1 bilateral lower extremities A client has just been transferred to the post anesthesia recovery room following a laparotomy. The nurse has completed assessing vital signs. What other important initial assessments would the nurse make? a. level of consciousness, pain level, and wound dressing b. Wound care c. Mental status d. Warmth of extremities correct answers a. level of consciousness, pain level, and wound dressing A nurse is assessing a client at the beginning of the shift. Which signs of hypoxia would alert the nurse to take further action? a. increased pulse rate, oxygen saturation of 88%, and circumoral cyanosis