Diminished radial pulses may be seen in patients with which of the following?

A) Aortic insufficiency
B) Hyperthyroidism
C) Arterial emboli
D) Early “warm” septic shock


C) Arterial emboli

Arterial emboli would decrease flow to a region, and therefore pulses would decrease as well. The other conditions actually cause bounding pulses. Aortic insufficiency can cause significant leakage of blood back to the heart, so the heart compensates by increasing forward flow. Stroke volume can increase dramatically with hyperthyroidism, especially in “thyroid storm.” This also results in bounding pulses. Although shock generally causes decreased blood pressure and pulses, early septic shock can produce increased peripheral circulation and increase pulses.

Nursing

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