Pulse Measurement:
Pulse Measurement: ( 5 Questions)
A nurse is assessing a client's pulse rate and finds it to be irregularly irregular with no discernible pattern. What action should the nurse take?
An irregularly irregular pulse rate is not considered a normal variation and should be further investigated.
Reassessing the pulse rate after 15 minutes may delay appropriate intervention if there is an underlying cardiac arrhythmia.
An irregularly irregular pulse rate with no discernible pattern may indicate atrial fibrillation, a common cardiac arrhythmia. The nurse should initiate cardiac monitoring and notify the healthcare provider for further evaluation and intervention.
Instructing the client to perform deep breathing exercises may help alleviate anxiety but does not address the potential underlying atrial fibrillation.
Answer: c. Initiate cardiac monitoring for atrial fibrillation.
Explanation: An irregularly irregular pulse rate with no discernible pattern may indicate atrial fibrillation, a common cardiac arrhythmia. The nurse should initiate cardiac monitoring and notify the healthcare provider for further evaluation and intervention.
a. An irregularly irregular pulse rate is not considered a normal variation and should be further investigated.
b. Reassessing the pulse rate after 15 minutes may delay appropriate intervention if there is an underlying cardiac arrhythmia.
d. Instructing the client to perform deep breathing exercises may help alleviate anxiety but does not address the potential underlying atrial fibrillation.