Which pulse site should a nurse palpate to assess the effectiveness of cardiac compressions during adult CPR?

The carotid pulse is the most appropriate site for assessing the effectiveness of cardiac compressions during adult CPR. This is primarily because the carotid artery is located centrally and deeply within the body, making it more likely to be palpable when perfusion is restored to the brain after effective compressions. During CPR, the goal is to maintain blood flow to vital organs, especially the brain and heart, and palpating the carotid pulse allows the healthcare provider to quickly assess the return of adequate circulation.

In this context, the effectiveness of compressions is evaluated by checking for a pulse that indicates that blood is being expelled from the heart and reaching the carotid arteries. This is critical because if there is no pulse palpable at the carotid site after sufficient compressions, it may indicate that the compressions are not effective, and further interventions may be necessary.

Other pulse sites, while useful in different clinical scenarios, may not provide the same immediate and reliable information about cardiac output during CPR interventions. For instance, the radial pulse is more peripheral and may not be detectable if blood flow is compromised. The brachial pulse is similarly located in an area where blood flow may not be easily assessed during emergencies. The femoral pulse, although central, is less accessible during