Question

  The nurse is aware that the pulse site found in the groove between the biceps and triceps muscles at the antecubital fossa is which of the following?

a.

Femoral

b.

Pedal

c.

Brachial

d.

Radial

The primary reason for hand hygiene is which of the following?

a.

Remove all microorganisms from the care giver’s hands

b.

To reduce the need for gloves during patient care

c.

Reduce the transmission of infectious microorganisms

d.

Provide a protective antimicrobial barrier on the care giver’s hands

Robert is a healthy 23-year-old male who has a fractured femur in a full cast. He has been ordered crutches for ambulation but is complaining of numbness and tingling in his arms when he uses them. What is the possible cause for this?

a.

Robert has a possible blood clot in his arm

b.

The crutches are too short

c.

Robert has poor upper body strength

d.

The crutches are too long

Following a treatment to improve their breathing the patient’s oxygen saturation reads

            89%. The patient states his breathing is improved after the treatment. What action should the nurse take?

	a.	Reposition the oximeter sensor and obtain a new reading
	b.	Re-evaluate the patient’s cardiovascular system
	c.	Tape the pulse oximeter tighter
	d.	Ask the patient to move their finger with a rapid movement

Answer 1

1. The correct option is c. Brachial pulse. Brachial pulse can be found by feeling the biceps tendon in the area of anticubital fossa.

Femoral pulse is can be located and felt in the femoral triangle region

Pedal pulse can be felt at 2 locations - dorsalis pedis pulse can be felt on top of foot  of foot and the posterior tibial pulse can be located palpating behind the medial maleolus.

Radial pulse can be felt on the thumb side of the wrist.

2. Correct option is optionc. To reduce the transmission of infectious micro organisms.

Hand hygiene is getting rid of microorganisms from ones hand so that it is prevented from transmitting to the patient as it could cause serious problems to patients, poor complaince, super infection etc. Wearing gloves is to make sure that the health worker is not getting any infection from the patient and for safety.

3. The correct option is d. Crutches are too long. When the crutches are too long it can cause crutch palsy due to compression of radial nerve in the axilla. This may cause irritation to the muscles, nerves and tissues in the region

Too short crutches cause unstability and the person may have risk of falling over.

4. Correct option is A. Reposition the oximeter sensor and obtain a new reading.