A nurse is assessing a client's radial pulse and determines that the pulse is irregular. Which of the following actions should the nurse take?

Assess the pedal pulses with a Doppler device

Assess the pedal pulses for a full minute

Assess the apical pulse with a Doppler device

Assess the apical pulse for a full minute

Answer and Explanation

The Correct Answer is D

A. Assessing the pedal pulses with a Doppler device is not necessary in this situation; the focus should be on the apical pulse due to the irregularity noted in the radial pulse.

B. Assessing the pedal pulses for a full minute does not address the irregularity of the radial pulse and is not the priority.

C. While assessing the apical pulse is appropriate, using a Doppler device is not required unless there are difficulties in obtaining the pulse normally.

D. Assessing the apical pulse for a full minute is the correct action because it provides a more accurate reflection of the heart's rhythm and rate, especially when there is an irregular radial pulse.

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Correct Answer is C

Explanation

A. Knowing the client's height can be helpful for ergonomic considerations, but it is not critical for the transfer process.

B. The client's ability to communicate is important for understanding their needs and preferences but does not directly impact the physical safety of the transfer.

C. The client's current weight-bearing status is crucial to determine the safest method of transfer. If the client cannot bear weight, additional assistance or equipment may be necessary to prevent falls or injury.

D. While knowing the type of equipment used in previous transfers can provide insight, it is secondary to understanding the client's current physical capabilities and needs.

A. Fish B. Leafy green vegetables C. Dietary supplements D. Corn oil

Correct Answer is A

Explanation

A. Fish, particularly fatty fish such as salmon, mackerel, and sardines, are excellent sources of omega-3 fatty acids, which are beneficial for heart health and reducing inflammation.

B. Leafy green vegetables contain some omega-3 fatty acids, but they are not considered a primary source compared to fish.

C. Dietary supplements can provide omega-3s, but they are not food sources and may not be necessary if individuals can obtain omega-3s from their diet.

D. Corn oil is primarily high in omega-6 fatty acids, which do not provide the same benefits as omega-3s and can lead to an imbalance if consumed in excess.

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A nurse is assessing a client's radial pulse and determines that the pulse is irregular. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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