Author Question: When taking the pulse of an infant, the nurse notices that the rate is 145 beats/min and the rhythm ... (Read 19 times)

Sufayan.ah · **on:** Jul 22, 2018

When taking the pulse of an infant, the nurse notices that the rate is 145 beats/min and the rhythm is regular. The nurse realizes that his rate is

a. Normal for an infant.
b. The proper rate for a toddler.
c. Too slow for an infant.
d. The same as that of a normal adult.

Question 2

The nurse has used her PICO question to develop an evidence-based change in protocol for a certain nursing procedure. However, to make these changes throughout the entire institution would require more support staff than is available at this time.

What is the nurse's best option? a. Drop the idea of making the change at this time.
b. Insist that management hire the needed staff to facilitate the change.
c. Seek employment in another institution that may have the staff needed.
d. Conduct a pilot study to develop evidence to support the change.

nmyers · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
The normal rate for an infant is 120 to 160 beats/min. The rate obtained (145 beats/min) is within the normal range for an infant. The normal rate for a toddler is between 90 and 140 beats/min. The normal rate for an adult is between 60 and 100 beats/min.

Answer to Question 2

D
When evidence is not strong enough to apply in practice, or if resources are limited, the next option is to conduct a pilot study to investigate the PICO question. Dropping the idea would be counterproductive; insisting that management hire staff could be seen as a mandate and could produce negative results. Seeking employment at another institution most likely would not be the answer because most institutions operate under similar established guidelines.