Nokea
The nurse has collected a client's vital signs. The nurse notes that the client's apical pulse was 75 beats per minute, and the radial pulse was 69 beats per minute. The nurse should document this finding as
- A. a widened pulse pressure.
- B. a pulse deficit.
- C. pulsus paradoxus.
- D. an expected finding.
Correct Answer: B
Rationale: A difference between apical and radial pulses indicates a pulse deficit, often due to weak or missed beats.
You may also like to solve these questions
The nurse reviews a client's lipid panel who is being treated for hyperlipidemia with simvastatin. Which of the following actions should the nurse take based on the results? See the results in the exhibit.
- A. Review the client's most recent creatinine
- B. Assess the client's adherence to the prescribed medication
- C. Determine if the client is adhering to a low salt diet
- D. Document the results as within normal limits
Correct Answer: B
Rationale: If lipid panel results are abnormal, assessing adherence to simvastatin is key, as non-compliance may explain ineffective treatment.
Which of the following lifestyle modifications are recommended for managing essential hypertension? Select all that apply.
- A. Isometric exercises
- B. Decreasing sodium intake
- C. Smoking cessation
- D. Use of herbal supplements
- E. Weight loss
Correct Answer: B,C,E
Rationale: Isometric exercises can increase blood pressure and are not recommended. Reducing sodium intake helps lower blood pressure. C: Correct - Smoking cessation reduces cardiovascular risk. D: Incorrect - Herbal supplements are not universally recommended and may interact with medications. E: Correct - Weight loss reduces blood pressure and cardiovascular strain.
It would be correct for the nurse to identify which cardiac dysrhythmias can reduce cardiac output. Select all that apply.
- A. Supraventricular tachycardia
- B. Sinus bradycardia
- C. Ventricular tachycardia
- D. Mobitz type II heart block
- E. Isolated premature atrial contraction (PAC)
Correct Answer: A,B,C,D
Rationale: Supraventricular tachycardia reduces filling time, lowering cardiac output. Sinus bradycardia decreases heart rate, reducing output. C: Correct - Ventricular tachycardia impairs effective pumping. D: Correct - Mobitz type II can cause missed beats, reducing output. E: Incorrect - Isolated PACs typically do not significantly affect cardiac output.
The nurse is caring for a client with the below tracing on the electrocardiogram. The nurse should expect the client to demonstrate which clinical manifestation in conjunction with this electrocardiogram tracing? See the exhibit.
- A. Jugular venous distention (JVD)
- B. Systolic murmur
- C. Irregular pulse
- D. Widened pulse pressure
Correct Answer: C
Rationale: An irregular ECG tracing, such as in atrial fibrillation, typically correlates with an irregular pulse due to inconsistent ventricular contractions.
A hypertensive client was prescribed antihypertensive medication. The client tells a clinic nurse that she prefers to take an herbal supplement to help lower her blood pressure. Which is the most appropriate response from the nurse?
- A. Tell the client that herbal supplements are unsafe and should be avoided
- B. Encourage the client to discuss the use of herbal supplements with her attending health care provider (HCP)
- C. Teach the client how to take her blood pressure and ask her to monitor it every fifteen minutes
- D. Tell the client that if she takes the herbal supplement, it will require the nurses to monitor her blood pressure closely
Correct Answer: B
Rationale: Herbal supplements can interact with medications, so discussing with the HCP ensures safety and efficacy.