Name: _________________________________________________
Mr. Tomas Depodi is a 58-year-old male who moved to the area from India 20 years ago. He was
admitted directly into the cardiac telemetry unit from his physician’s office with a history of
dyspnea, dizziness, and chest discomfort. During the admission assessment the nurse measures
Mr. Depodi's vital signs and oxygen saturation. They are within normal parameters although the
radial pulse rhythm is irregular.
1. Based on Mr. Depodi's reports of increasingly frequent periods of dyspnea, dizziness, and mild
chest discomfort, what should the nurse do next?
A. Ask the client to stand and recheck his blood pressure
B. Place the client in a supine position and observe for orthopnea
C. Measure the apical and radial pulse rates at the same time
D. Determine if the client is currently experiencing any angina
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2. After palpating an irregular pulse at the left radial pulse site, what action should the nurse take
to confirm the client's heart rate?
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A. Palpate both radial pulses simultaneously
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B. Auscultate the apical pulse for 1 minute
C. Compare the ulnar pulse to the radial pulse
D. Ask the client if he experiences palpitations
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The client’s apical pulse rate is 92 and irregular, consistent with the radial pulse. The nurse
implements cardiac telemetry monitoring, obtains an order for PRN oxygen, and begins
treatment for Mr. Depodi's irregular heart rhythm as prescribed. After gathering the initial
priority data, the nurse interviews him to gather subjective data related to his cardiac function.
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