Moderate

A patient has a weak peripheral pulse and cool fingers after blood loss. Which site is most appropriate for assessing the pulse rate?

Correct answer: C. Carotid artery in the neck

  • A. Radial artery at the wrist
  • B. Dorsalis pedis artery on the foot
  • C. Carotid artery in the neck
  • D. Posterior tibial artery behind the ankle

Explanation

The carotid pulse is a central pulse and is more dependable when peripheral circulation is poor. Peripheral pulses may be difficult to detect during hypovolaemia, although the nurse should assess the patient and report signs of shock promptly.

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About Vital Signs and Monitoring

Vital signs include temperature, pulse, respiration, blood pressure, oxygen saturation and pain assessment. Coverage includes correct measurement sites and techniques, normal adult ranges, factors that alter readings, trends in patient observations, and the difference between an abnormal finding that needs reassessment and one requiring immediate reporting.

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