To conduct an assessment of a possible pulse deficit:
A. A nurse measures the pulse after the client exercises
B. Two nurses check the same pulse on opposite sides of the body
C. Two nurses assess the apical and radial pulses and determine the difference
D. The current pulse is compared with previous pulse measurements for differences
C
A, B, C, D. Locate apical and radial pulse sites. If two nurses are available, one nurse auscultates the apical pulse and one nurse palpates the radial pulse. Both nurses count the pulse rate for 60 seconds simultaneously. Subtract the radial rate from the apical rate to obtain the pulse deficit. The pulse deficit reflects the number of ineffective cardiac contractions in 1 minute. If a pulse deficit is noted, assess for other signs and symptoms of decreased cardiac output.
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