Difficulty: Medium
Average Score: 88%
Simulated
The nurse is caring for a hypotensive patient whose peripheral pulses are very weak. Which grade will the nurse use to document this finding?
Correct answer
1
Rationale
Correct Answer: 1
Rationale:
1. The nurse will use grade 1 to document very weak peripheral pulses in a hypotensive patient as it denotes barely palpable pulses.
2. Grade 0 indicates absent pulses, which is not the case here.
3. Grades 2, 3, and 4 represent palpable but different degrees of strength, which do not align with very weak pulses.
4. Grade 5 indicates bounding pulses, which is the opposite of very weak pulses.
Rationale:
1. The nurse will use grade 1 to document very weak peripheral pulses in a hypotensive patient as it denotes barely palpable pulses.
2. Grade 0 indicates absent pulses, which is not the case here.
3. Grades 2, 3, and 4 represent palpable but different degrees of strength, which do not align with very weak pulses.
4. Grade 5 indicates bounding pulses, which is the opposite of very weak pulses.