The nurse is reinforcing teaching for a patient who has a pacemaker. Which measure should the nurse include when explaining how the pulse should be monitored?
a. Take radial pulse for 1 minute.
b. Take apical pulse for 1 minute.
c. Take jugular pulse for 30 seconds.
d. Take brachial pulse for 30 seconds.
ANS: A
Patients are taught to take a radial pulse, as it is easier to learn than an apical pulse, for 1 minute and to report if it is 5 beats over or under the set pacemaker rate. B. It is difficult for a patient to learn how to take their own apical pulse. C. D. These pulse points are difficult for the patient to learn.
You might also like to view...
The nurse is taking a health history of a child with suspected acute poststreptococcal glomerulonephritis. Which of the following responses indicates a confirmed risk factor for this condition?
A) "She has been very healthy up to now." B) "He just got over a head cold with laryngitis." C) "My child is 18 months old." D) "My child has not been sick at all."
When a new client has been admitted to the unit, the nurse takes the client on a tour, tells the client
about the rules of the unit that guide behavior and activities of daily living, and discusses the daily schedule. In doing this the nurse is engaged in a. counseling. b. health teaching. c. milieu management. d. psychobiological intervention.
A nurse reads in a patient's history that the patient has experienced otalgia. How should the nurse interpret this term?
a. Difficulty hearing b. Buildup of cerumen c. Ear pain d. Ringing in the ears
Which patient situation presents the greatest risk for the occurrence of hypotonic dysfunction during labor?
a. A primigravida who is 17 years old b. A 22-year-old multiparous woman with ruptured membranes c. A multiparous woman at 39 weeks of gestation who is expecting twins d. A primigravida woman who has requested no analgesia during her labor