A patient has been experiencing some circulatory issues, and an apical-radial pulse is ordered. Nursing care is correct if which procedure is followed?
a. One nurse counts the apical pulse at the same time another nurse counts the radial pulse.
b. The nurse delegates this procedure to an experienced licensed practical nurse/licensed vocational nurse (LPN/LVN) and nursing assistive person-nel (NAP) with 10 years' experience.
c. The nurse counts the apical pulse for 60 seconds and then the radial pulse for 60 seconds.
d. The apical pulse is counted for 30 seconds, the radial pulse for 30 seconds, and the results are doubled.
A
The pulse rate must be counted for 60 seconds at the two sites at the same time by two different people. If the patient is unstable or experiencing problems, this cannot be delegated to NAP. The radial and apical pulses are counted at the same time by two different people. The apical and radial pulses are counted for a full minute, not 30 seconds.
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