The nurse is caring for a 70-year-old client who suddenly becomes confused and tells the nurse she has to go catch the bus. The nurse assesses which of the following before notifying the physician?
1. Presence of an apical pulse rate
2. The strength of the radial artery
3. Presence of carotid pulses bilaterally
4. The femoral pulses
3
Rationale: The client might be experiencing decreased blood flow to the brain as a result of reduced carotid perfusion. The nurse would lightly palpate for the carotid arteries, taking care to palpate only one side at a time, before notifying the physician. Presence of an apical pulse is indicated by the client's speaking, and radial artery strength and femoral pulses would not apply to the situation.
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