The nurse is assessing an adult client's pulse. Which method will is appropriate for the nurse to initially use?
1. Monitoring for a full 2 minutes.
2. Monitoring for 1 complete minute.
3. Monitoring for 30 seconds and multiply by 2.
4. Monitoring for 15 seconds and multiply by 4.
Correct Answer: 3
For the initial pulse assessment, the nurse may count the beats for 30 seconds and multiply by 2. It is not necessary for the nurse to count the pulse for 2 minutes, as heart rate is expressed in beats per minute. With any irregular pulse, the rate needs to be counted for 1 full minute Counting for 15 seconds and multiplying by 4 may not yield an accurate result, and therefore should not be used in assessing the rate.
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