Which technique is correct when the nurse is assessing the radial pulse of a patient? The pulse is counted for:
a. 1 minute, if the rhythm is irregular.
b. 15 seconds and then multiplied by 4, if the rhythm is regular.
c. 2 full minutes to detect any variation in amplitude.
d. 10 seconds and then multiplied by 6, if the patient has no history of cardiac abnormalities.
ANS: A
Recent research suggests that the 30-second interval multiplied by 2 is the most accurate and efficient technique when heart rates are normal or rapid and when rhythms are regular. If the rhythm is irregular, then the pulse is counted for 1 full minute.
You might also like to view...
A 30-year-old African American had surgery 6 months ago. Her incisional site is now raised, indurated, and shiny. This tissue growth is most likely a(n)
a. angioma. b. keloid. c. melanoma. d. nevus.
A nurse is assisting a client with a partial airway obstruction. What resuscitation efforts should the nurse perform to provide relief to a client with a partial airway obstruction of the throat?
A) Perform the Heimlich maneuver. B) Encourage and provide physical support to the client. C) Sweep the finger in the throat and remove the obstruction. D) Activate emergency medical system immediately.
A graduate nurse completed her nursing education 3 weeks ago and has just begun work at the local hospital. She is orienting to her new position with an experienced nurse, one who has been an RN for 15 years and an employee at the hospital for 7 years
She will provide guidance and practical teaching to the new graduate as she assumes a new position in the nursing unit. What role is the experienced RN assuming? 1) Mentor 2) Manager 3) Preceptor 4) Leader
43. A child with cancer being treated with chemotherapy is receiving a platelet transfusion. The nurse understands that the transfused platelets should survive the body for how many days?
a. 1 to 3 days b. 4 to 6 days c. 7 to 9 days d. 10 to 12 days