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Week 3 BSN205
Vital Signs: Lesson 3 Post-Test
| Question | Answer |
|---|---|
| The task of pulse assessment could be delegated to the NAP for which of the following patients? (Select all that apply.) | A radial pulse on a patient with a 1200 mL fluid restriction. The temporal pulse of a child. |
| Which of the following patients would be at risk for having an alteration in peripheral pulse? (Select all that apply.) | The patient who was just informed of a diagnosis of cancer. A patient with peripheral vascular disease. A patient who is receiving bolus IV fluids. |
| Whenever there is an alteration in the radial pulse rate, rhythm, or amplitude, the nurse should initially do which of the following? | Auscultate the apical pulse for quality and rate. |
| What is the normal pulse range for an adult? | 60 to 100 beats per minute. |
| The nurse should routinely auscultate the apical pulse with the bell side of the stethoscope, and use the diaphragm side to identify heart murmurs. | False |
| In which of the following patients would the nurse expect to find a decrease in pulse rate? (Select all that apply.) | A patient returning from the operating room. A patient who received morphine for pain. |
| The new NAP is unable to palpate a patient’s radial pulse. What could be a possible explanation for this difficulty? (Select all that apply.) | The NAP is pressing down too hard on the patient’s radial site. The NAP is assessing for a pulse on the ulnar side of the wrist. |
Created by:
Mrsbradley21
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