After noting that a client has a pulse deficit, what action should the nurse take next?
Instruct the client to report for weekly re-evaluations by the nurse.
Teach the client how to check pulses at home.
Report this finding to the physician.
Document this finding.
The Correct Answer is C
A. Instruct the client to report for weekly re-evaluations by the nurse. A pulse deficit indicates a difference between the apical and radial pulse rates, which may suggest cardiac dysfunction such as atrial fibrillation. This requires immediate evaluation, not just weekly monitoring.
B. Teach the client how to check pulses at home. While patient education is important, a pulse deficit is a clinical concern that should be addressed by a healthcare provider before self-monitoring is advised.
C. Report this finding to the physician. A pulse deficit may indicate arrhythmias or decreased cardiac output, requiring further evaluation and possible medical intervention. The physician should be informed promptly.
D. Document this finding. While documentation is necessary, the priority action is to report the pulse deficit to the physician so appropriate diagnostic tests and interventions can be initiated.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["39.2"]
Explanation
Calculation:
The formula to convert Fahrenheit (°F) to Celsius (°C) is:
°C = (°F - 32) × 5/9
= (102.5 - 32) × 5/9
= (70.5) × 5/9
= 39.1666...
Rounding to the nearest tenth: 39.2 °C.
Therefore, 102.5 °F is equal to 39.2 °C.
Correct Answer is ["0.5"]
Explanation
To determine the number of tablets per dose, use the formula:
Tablets per dose = Dose ordered/Dose available
Given:
- Ordered dose = 400 mg
- Available dose = 800 mg per tablet
Tablets per dose = 400mg/(800mg/tablet)
= 0.5 tablet
Thus, the nurse will administer 0.5 tablet per dose.
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