The nurse is informed during shift report that the assigned client has a wide pulse pressure, is hypertensive, and has a pulse deficit
When the nurse enters the client's room, which assessments would the nurse perform in order to confirm this report?
1. Blood pressure and apical pulse assessments
2. Blood pressure and radial pulse assessment
3. Blood pressure and respiratory rate assessment
4. Blood pressure and radial-apical pulse assessment
Correct Answer: 4
In order to assess a pulse deficit, defined as a discrepancy between the apical and radial pulse rate, the nurse must perform an apical-radial pulse assessment. Wide pulse pressure and hypertension would be assessed by measuring blood pressure.
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