A nurse checks the radial pulse of a client and notes an ...

[cmoore54]

A nurse checks the radial pulse of a client and notes an irregular rhythm. The MOST appropriate action would be to:
 
  a. count pulse rate for 15 seconds, then multiply by 4
  b. count pulse rate for 30 seconds, then multiply by 2
  c. count pulse rate for 60 seconds
  d. count pulse rate for 90 seconds

Question 2

A nurse is caring for a client diagnosed with sleep apnea. What should the nurse do in order to promote sleep in the client?
 
  A) Encourage the client to lose weight.
  B) Avoid sedatives for sleeping.
  C) Encourage deep breathing exercises.
  D) Provide good ventilation in the room.

[Danny Ewald]

Answer to Question 1

C
The radial pulse is assessed by counting pulse rate for 30 seconds and then multiplying by 2 . If the pulse is irregular, it is repeated by counting pulse rate for 60 seconds

Answer to Question 2

B
Feedback:
The nurse should avoid sedatives in the client because sedatives may depress respiration. The client with sleep apnea already has decreased ventilation and low blood oxygenation; the condition may become worse if the respiration is further depressed by sedatives. Losing weight is a long-term measure and is not applicable in this case. Encouraging deep breathing exercises and providing good ventilation may help the client, but they are secondary measures.