Which pulse site should the nurse recommend the client use for home monitoring?

Correct Answer: C

Rationale: The correct answer is C: Radial. The radial pulse site is located on the wrist and is easily accessible for self-monitoring at home. It is a common site for taking pulse measurements and is convenient for regular monitoring. The radial artery is close to the surface, making it easy to locate and palpate. Monitoring the radial pulse provides an accurate representation of the heart rate. A: Apical pulse is located at the apex of the heart and is usually measured using a stethoscope. It is not practical for self-monitoring at home. B: Pedal pulse is located on the foot and may be difficult for the client to accurately measure on their own. D: Femoral pulse is located in the groin area and is not easily accessible for self-monitoring at home.

Correct Answer: D

Rationale: The correct answer is D: Orthostatic hypotension. When an older adult falls during a transfer, orthostatic hypotension is a likely health problem to consider. Orthostatic hypotension is a sudden drop in blood pressure when standing up, leading to dizziness or fainting. This condition can increase the risk of falls, especially during position changes like transferring from bed to a commode. Bradypnea (A) refers to abnormally slow breathing rate, not directly related to falls. Palpitations (B) are rapid or irregular heartbeats, not typically associated with falls. Primary hypertension (C) is high blood pressure without a known cause, which is not directly linked to falls during transfers.

Correct Answer: C

Rationale: The correct answer is C: Check pulse with a doppler. This is the most appropriate action as using a doppler can help detect the pulse accurately when palpation is difficult. Rechecking in 1 hour (B) is not necessary as immediate action is required. Recording the finding (A) without further assessment may lead to missed critical information. Notifying the healthcare provider (D) at this stage is premature as further assessment is needed before involving the provider.

Correct Answer: A

Rationale: Correct Answer: A (0.5 tablets) Rationale: 1. The ordered dose is 12.5 mg. 2. The available tablets are 25 mg. 3. Divide the ordered dose by the tablet strength: 12.5 mg / 25 mg = 0.5 tablets. 4. The nurse administers 0.5 tablets to achieve the prescribed dose accurately. Summary: - Option B (1 tablet) is incorrect as it would give double the prescribed dose. - Option C (1.5 tablets) is incorrect as it would exceed the prescribed dose. - Option D (2 tablets) is incorrect as it would give four times the prescribed dose.

Correct Answer: C

Rationale: The correct answer is C) emphasis on advanced clinical practice, leadership, and evidence-based decision-making. The Doctor of Nursing Practice (DNP) program is designed to prepare advanced practice nurses to excel in roles that require a high level of clinical expertise, leadership skills, and the ability to make evidence-based decisions. This option reflects the primary goal of the DNP program, which is to produce advanced practice nurses who can lead in clinical practice settings and healthcare organizations, utilizing the latest evidence to guide their practice. Option A) preparation for leadership roles in academia is incorrect because while some DNP graduates may pursue academic roles, the primary focus of the DNP program is on preparing advanced practice nurses for leadership in clinical settings. Option B) research-focused doctoral education is incorrect because while research is an important component of the DNP program, the primary emphasis is on translating research into practice rather than conducting research as the primary goal. Option D) integration of theory, research, and public health in nursing practice is incorrect because while these elements are important in the DNP program, they are not the primary goal. The primary focus is on advanced clinical practice, leadership, and evidence-based decision-making. Educationally, understanding the primary goal of the DNP program is crucial for nursing students aspiring to pursue this advanced degree. It helps students grasp the core objectives of the program and how it aligns with their career goals in advanced nursing practice. Understanding this distinction also aids students in making informed decisions about their educational and career pathways within the nursing profession.