On assessment, a nurse notes that a patient's pulse is weak and applying light pressure causes it to disappear. What pulse amplitude would the nurse document on the flow chart?

Correct Answer: B

Rationale: Pulse amplitude is graded 0-4+. A weak pulse disappearing with light pressure suggests low strength. 1+ is thready, barely palpable, not matching weak.' 2+ is normal but can be weak and obliterated with pressure, fitting here. 3+ is strong, and 4+ bounding, both too robust. Choice B (corrected from key's A) aligns with clinical description, as weak' typically starts at 2+ and fades easily, per nursing assessment standards.

Correct Answer: D

Rationale: Body temperature varies with exercise increasing it via metabolism, gender with slight differences (e.g., women post-ovulation), and cold fluids potentially lowering oral readings. All are factors. Choice D is correct, as nursing recognizes these influencesexercise raises heat production, gender affects baseline, and fluids alter local readingsrequiring context in temperature assessment to ensure accurate interpretation and care planning.

Correct Answer: D

Rationale: Tachycardia (pulse >100 at rest) can signal infection increasing metabolic demand, dehydration reducing volume, fever elevating heart rate, or all . Each is a physiological stressor. Choice D is correct, as nursing recognizes these common causes, requiring further assessment to pinpoint and address the underlying condition driving the elevated pulse.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.