Grace’s radial pulse is irregular. Select the three priority actions the nurse will take at this time. Ask the nursing assistant to verify the results by auscultating Grace’s apical pulse simultaneously. Auscultate the apical pulse for one full minute. Open Grace’s medical record to look for cues that would indicate a history of dysrhythmia. Compare the radial pulse in this wrist to the radial pulse in the other wrist to determine if there is a pulse deficit. Ask Grace if she feels dizzy, has palpitations, or is short of breath. Continue to assess other characteristics of the radial pulse in addition to the rhythm. Ask Grace to lay down to decrease her heart rate and then reassess the radial pulse in this position. Call the healthcare provider immediately.
[Answered]: Grace’s radial pulse is irregular
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