NCLEX Practice Question: Quiz No 410 with Rationale and Answer

NCLEX Practice Questions, Quiz No 410 with Rationale and Answer

In a Hospital, nurse is attending a heart patient, nurse assesses the pedal pulses of patient and having a pulse volume of 01 on a scale of 0 to 03. Based on this assessment finding, what is important for the nurse to also assess ????

• a) Pulse deficit
• b) Blood pressure
• c) Apical pulse
• d) Pulse pressure

Right Answer:

• b) Blood pressure

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Rationale of Answers

• If the leg pulses are weak, the nurse should assess the blood pressure in order to further explore the reason for the low pulse volume. If the blood pressure is low, then a low pulse volume would be expected. 
• The pulse deficit is the difference between the apical and radial pulse. 
• The apical pulse would not be helpful to assess peripheral circulation. 
• The pulse pressure is the difference between the systolic and diastolic pressures.