A nurse has created a plan of care for an immunodeficient patient, specifying that care providers take the patient's pulse and respiratory rate for a full minute. What is the rationale for this aspect of care?
A) Respirations affect heart rate in immunodeficient patients.
B) These patients' blunted inflammatory responses can cause subtle changes in status.
C) Hemodynamic instability is one of the main complications of immunodeficiency.
D) Immunodeficient patients are prone to ventricular tachycardia and atrial fibrillation.
Ans: B
Feedback:
Pulse rate and respiratory rate should be counted for a full minute, because subtle changes can signal deterioration in the patient's clinical status. The rationale for this action is not because of the relationship between heart rate and respirations. These patients do not have a greatly increased risk of hemodynamic instability or dysrhythmias.
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