Which client would the nurse anticipate to most likely have a higher-than-normal pulse rate?
1. An obese young adult client admitted for a fractured femur requiring traction
2. A middle-aged adult client with hypertension admitted for removal of a tumor that might be cancerous
3. A febrile elderly client with diabetes admitted for treatment of cellulitis
4. An adolescent client admitted with an anxiety disorder
Correct Answer: 3
The elderly client is more likely to have a faster heart rate than are younger clients, and with the addition of a fever and a diagnosis of diabetes that increases the risk of peripheral vascular disease, the risk for an elevated pulse rate is almost a certainty. The client who is obese could have a higher heart rate, but because she is on bed rest, she is not at greatest risk. The hypertensive client is experiencing a stressful eventâ€"both states can elevate heart rateâ€"but has fewer risk factors than does the elderly client. The adolescent client would be expected to have a lower heart rate than an elderly client, and has only one factor influencing heart rate elevation.
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