Practice Question
A nurse is caring for a client who has an irregular heart rate. Which of the following actions should the nurse take?
Answer Choices:
Correct Answer:
Auscultate the client's apical pulse.
Rationale:
🟠The apical pulse provides the most accurate assessment of the heart rate and rhythm, especially when the client has an irregular pulse.
🟠It is assessed using a stethoscope over the apex of the heart, typically at the fifth intercostal space, left midclavicular line.
🟠Counting the apical pulse for one full minute helps detect irregularities or missed beats.
🟠Peripheral pulse checks can be inaccurate in cases of arrhythmia, making apical auscultation the gold standard for accuracy.
🟠This approach ensures precise evaluation before reporting or initiating any cardiac interventions.
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This question is from ☑️CUSTOM NUR 1100 MIDTERM FALL 2025 - MIAMI UNIVERSITY which contains 70 questions.
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From Exam
☑️CUSTOM NUR 1100 MIDTERM FALL 2025 - MIAMI UNIVERSITY
70 Questions
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- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Fundamentals of Nursing
- Answer Choices: 4