After noting that a client has a pulse deficit, what action should the nurse take next?
a. Document this finding.
b. Instruct the client to report for weekly reevaluations by the nurse.
c. Report this finding to the physician.
d. Teach the client how to check pulses at home.
C
A pulse deficit results from the ejection of a volume of blood that is too small to initiate a peripheral wave. This finding should be reported to the physician right away.
You might also like to view...
When communicating with an older adult patient who has difficulty hearing, the nurse should:
a. speak very loudly. b. speak rapidly. c. lower the tone of the voice. d. raise the tone of the voice.
A client admitted for a heroin overdose received naloxone, which relieved his altered breathing
pattern. Two hours later he reported muscle aching and abdominal cramps. He sniffs and points to the gooseflesh on his arms. He says he feels "terrible.". Which assessment can be made? a. An idiosyncratic reaction to naloxone is occurring. b. The client should be monitored closely for seizures. c. The client is experiencing a relapse. d. Symptoms of narcotic abstinence are present.
You are caring for an oncology patient at risk for disseminated intravascular coagulation (DIC). What would be the appropriate care for this patient? (Mark all that apply.)
A) Assist patient to turn, cough, and deep breathe B) Accurate I & O C) Prevent bleeding D) Assess hearing disturbances E) Maximize physical activity
Physiological splitting of S2 is heard only during inspiration
A) True B) False