Which of the following assessment findings would suggest to the nurse that a client is at risk for alterations in perfusion?

1. Blood pressure 110/68 mmHg
2. Apical heart rate 80; radial beats per minute 68
3. Respiratory rate 20 per minute
4. Temperature 98.8°F


2. Apical heart rate 80; radial beats per minute 68

Rationale:
The number of radial beats per minute is 12 beats slower than the apical rate of 80 per minute. This indicates weak contractions of the left ventricle and could lead to alterations in perfusion. The other assessment findings are within normal limits.

Nursing

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