A nurse is preparing to assess a client for a pulse deficit. Which of the following actions should the nurse plan to take first?

Request assistance from a second nurse.

Count the client's apical pulse.

Check the client's pulse rate for 1 min.

Calculate the difference between the client's peripheral pulse and the client's apical pulse.

Answer and Explanation

The Correct Answer is A

A: To accurately determine a pulse deficit, one nurse must listen to the apical pulse while another nurse palpates the radial pulse simultaneously to compare both pulse rates, necessitating a second person.
B: Counting the apical pulse is a part of the process but would follow after ensuring another nurse is available to check the radial pulse at the same time.

C: This action relates to checking a pulse rate generally but does not specify the need for simultaneous comparison with the apical pulse.
D: Calculation of the difference is the final step after both pulses have been counted simultaneously.

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Correct Answer is D

Explanation

A: Bradycardia is typically not associated with acute pain; instead, pain usually triggers a sympathetic response, leading to tachycardia.
B: Hypoglycemia has no direct correlation with acute pain levels.

C: Pain tends to increase, not decrease, the respiratory rate due to stress and increased metabolic demand.
D: Acute pain can lead to elevated blood pressure as part of the body's stress response, which includes activation of the sympathetic nervous system.

A. Convection B. Evaporation C. Conduction D. Radiation

Correct Answer is B

Explanation

A: Convection involves the movement of air or liquid around the body, which then carries heat away but does not involve phase change like evaporation.
B: Evaporation is the process where liquid (sweat) turns into vapor, removing heat from the surface it evaporates from, which is the primary cooling mechanism in sweating.
C: Conduction involves direct transfer of heat through contact with cooler objects, not relevant to the drying of sweat.
D: Radiation refers to heat transfer through electromagnetic waves and does not require the presence of an intervening medium, unlike the evaporation of sweat.

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A nurse is preparing to assess a client for a pulse deficit. Which of the following actions should the nurse plan to take first?

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