Exam (elaborations)
ASSESSING THE APICAL PULSE BY AUSCULTATION PREWORK
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ASSESSING THE APICAL PULSE BY AUSCULTATION PREWORK
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ASSESSING THE APICAL PULSE BY AUSCULTATIONPREWORK
Which action does the nurse perform when measuring the client's pulse deficit?
A.)Measure the apical and radial pulse separately.
B.)Use the pulse oximetry monitor to measure the radial pulse.
C.)Count the apical and radial pulse rate simultaneously.
D.)Palpate the carotid pulse and compare to the radial pulse. - answer- A.)Measure the
apical and radial pulse separately
The nurse is preparing to assess vital signs on several clients. The client with which
condition should have an apical-radial pulse obtained?
A.)Heart failure
B.)Sinus tachycardia
C.)Aortic stenosis
D.)Atrial fibrillation - answer- D.)Atrial fibrillation
The clinic nurse is caring for multiple clients. For which client(s) will the nurse assess an
apical pulse? Select all that apply.
A.)45-year-old client who takes digoxin daily
B.)8-year-old client being seen for immunizations
C.)79-year-old client whose radial pulse is 120 beats/minute
D.)38-year-old client whose oral temperate is 102.2°F (39°C)
E.)17-year-old client who is at 32 weeks' gestation with the first child
F.)22-year-old athletic client whose resting heart rate was 52 beats/minute yesterday -
answer- A,C
45-year-old client who takes digoxin daily,
79-year-old client whose radial pulse is 120 beats/minute
A client's apical-radial pulse reveals an apical pulse of 72 beats/min and a radial pulse
of 60 beat/min. How does the nurse document the pulse deficit?
A.)132
B.)72
C.)60
D.)12 - answer- D.)12
The unlicensed assistive personnel (UAP) reports to the nurse that the client's pulse is
difficult to feel and is skipping beats. What action does the nurse prioritize?
A.)Document the findings.
B.)Notify the health care provider.
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