Difficulty: Medium
Average Score: 90%
Simulated
A nurse is caring for a client who has a dysrhythmia. Which of the following techniques is appropriate for the nurse to use to assess for a pulse deficit?
Correct answer
A
Rationale
The correct answer is A: Obtain apical and radial rates simultaneously. This technique is appropriate for assessing a pulse deficit because it allows the nurse to compare the heart rate (apical) with the peripheral pulse rate (radial) at the same time. Discrepancies between the two rates indicate a pulse deficit, which can be indicative of certain dysrhythmias. Palpating pulses in the lower extremities (B) does not assess for a pulse deficit specifically. Checking blood pressure in left and right arms (C) is not relevant to assessing a pulse deficit. Comparing pulse strength in upper extremities (D) does not specifically address the detection of a pulse deficit.