Author Question: The nurse is using a Doppler ultrasonic stethoscope to assess a client's pulse in the lower ... (Read 41 times)

burton19126 · **on:** Jun 25, 2018

The nurse is using a Doppler ultrasonic stethoscope to assess a client's pulse in the lower extremity and is unable to locate the pulse. Which action by the nurse is appropriate in this situation?

1. Checking the pressure applied to the probe.
2. Adding more gel to the end of the probe.
3. Informing the healthcare provider immediately.
4. Sending the equipment for repair.

Question 2

The nurse is performing an abdominal assessment and has just completed auscultation. Which technique would the nurse correctly choose to use next in this assessment?

1. Percussion.
2. Palpation.
3. Transillumination.
4. Auscultation.

IRincones · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
Heavy pressure to the probe should be avoided because it may impede blood flowthe probe should be placed gently against the client's skin, over the artery to be auscultated. A small amount of gel is applied to the end of the Doppler probe to eliminate interference. Informing the healthcare provider may be premature until it is determined that the Doppler probe is being used correctly. Sending the equipment for repair is premature at this time.

Answer to Question 2

Correct Answer: 1

The sequence for abdominal assessment is inspection, auscultation, percussion, and palpation. Percussion and palpation could alter the natural sounds of the abdomen; therefore, it is important to auscultate before performing palpation and percussion.