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 DNP focuses on advanced clinical practice, leadership, and evidence-based decision-making, distinguishing it from research-focused PhD programs.