The nurse assesses a patient's pulse and finds it hard to obliterate with palpation. What action by the nurse is best?

a. Assess the patient for fluid volume overload.
b. Assess the patient for fluid volume deficit.
c. Assess the patient's apical heart rate.
d. Assess the patient's pulse deficit.


ANS: A
A pulse that is hard to obliterate (a bounding pulse) can be caused by fluid volume overload, or overhydration. The nurse should assess for this situation. The other actions are not necessary.

Nursing

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