The nurse working on the pediatric unit checks the apical pulse of a school-aged child and finds a rate of 95 beats per minute while the child is lying in bed. The best action on the part of the nurse is to:
a. Chart the apical pulse of 95 as it is in the normal range.
b. Recheck the apical pulse for a full minute, as it is somewhat high.
c. Call the pediatrician.
d. Have another nurse recheck the apical pulse.
A
Feedback
A Correct: The average apical rate for the school-aged child is 90-95 beats per minute. Therefore, the nurse should chart the apical pulse of 95 as it is within the normal range.
B Incorrect: An apical rate of 95 beats per minute in the school-aged child would not warrant rechecking the apical pulse for a full minute.
C Incorrect: An apical rate of 95 beats per minute in the school-aged child would not warrant calling the pediatrician.
D Incorrect: An apical rate of 95 beats per minute in the school-aged child would not warrant having another nurse recheck the apical pulse.
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