What steps should the nurse take to conduct an assessment of a possible pulse deficit?
a. A nurse measures the pulse after the patient 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
Locate apical and radial pulse sites. 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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The nursing instructor is explaining to her students that patients with primary immunodeficiencies are living longer because of advances in medical treatment. This means that these patients have an increased risk of what?
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When incorporating the five rights of delegation, the right circumstance is used in which of the following situations?
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A woman is scheduled to have an external version for a breech presentation
The nurse carefully reviews the patient's chart for contraindications to this procedure, such as: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Station –2. 2. 38 weeks' gestation. 3. Abnormal fetal heart rate and tracing. 4. Previous cesarean section. 5. Rupture of membranes.