The nurse is caring for a client on the cardiac unit. The licensed practical nurse on the previous shift reported the following vital signs/assessment information:
temperature, 100.6° F; pulse, 56 beats/minute; respirations 24 breaths/minute; blood pressure, 116/60 mm Hg; pulse oximetry reading, 92%; and with 2+ edema noted in the lower extremities. Prior to 9 AM antidysrhythmic medication administration, which of the following will the nurse reassess?
A) Temperature
B) Pulse
C) Blood pressure
D) Edema
B
Feedback:
Of the vital signs noted, the pulse rate is found to be abnormal, below 60 beats/minute. Before administering an antidysrhythmic medication, which often slows the heart rate further, the pulse rate would be reassessed, and a rate of 60 beats/minute would need to be obtained.
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