To conduct an assessment of a possible pulse deficit: A. A ...

[pragya sharda]

To conduct an assessment of a possible pulse deficit:
 
  A. A nurse measures the pulse after the client exercises
  B. Two nurses check the same pulse on opposite sides of the body
  C. Two nurses assess the apical and radial pulses and determine the difference
  D. The current pulse is compared with previous pulse measurements for differences

Question 2

MC Mr. Brown is admitted to the hospital with a chronic gastrointestinal condition. He is to be placed on bed rest and IV therapy. You admit him to the nursing unit and will be starting his IV therapy. The questions below refer to this situation.
 
  A hypotonic solution is given IV to Mr. Brown. In evaluating the result, you know that hypotonic fluid A. Moves out of the extracellular space into the intracellular space.
  B. Moves out of the intracellular space into the extracellular space.
  C. Enters and leaves the extracellular and intracellular space at the same rate.
  D. Equilibrates between the intravascular and interstitial spaces.

[pratush dev]

Answer to Question 1

C
A, B, C, D. Locate apical and radial pulse sites. If two nurses are available, one nurse auscultates the apical pulse and one nurse palpates the radial pulse. Both nurses count the pulse rate for 60 seconds simultaneously. Subtract the radial rate from the apical rate to obtain the pulse deficit. The pulse deficit reflects the number of ineffective cardiac contractions in 1 minute. If a pulse deficit is noted, assess for other signs and symptoms of decreased cardiac output.

Answer to Question 2

A

[pragya sharda]

TY

[pratush dev]

You're welcome