2024 PN NCLEX Questions Nursing Practice Question
A nurse palpates a client’s radial pulse, noting the rate, rhythm, and force, and concludes that the client’s pulse is normal. Which notation would the nurse make in the client’s record to document the force of the client’s pulse?
Correct Answer: C
Rationale: Documenting the force of a pulse is essential for assessing cardiovascular health. A notation of "2+" indicates a normal pulse strength, reflecting a palpable and moderate force.
Option A (4+) suggests a bounding pulse, which is abnormal and indicates increased force. Option B (3+) denotes a strong pulse but is still above normal, implying potential concerns. Option D (1+) indicates a weak pulse, which may signal insufficient blood flow or other issues. Thus, "2+" accurately captures a normal pulse force, allowing for proper monitoring and assessment of the client's cardiovascular status.