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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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Darkne55reborn Darkne55reborn
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6 years ago
The nurse on the pediatric unit is assigned to care for four children. One of the children is 18 months old and the rest are 3, 4, and 4-1/2 years old.
 
  The youngest is in for observation, the 3-year-old has a cardiac problem, and the two older children are in for tests. After a report the nurse takes the children's vital signs. The nurse would need to take the pulses in which of the following ways? a. radial pulse on all the children
  b. radial on the two older children and apical on the 18-month-old and the child with a cardiac problem
  c. apical on all children under 5
  d. apical only on the child with a cardiac problem
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6 years ago
B

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A Incorrect. A radial pulse can be obtained on children over 2 years of age, but not the 18 month old nor the child with a cardiac problem.
B Correct. An apical pulse should be taken on neonates, infants and young children (under 2 years of age) and on all children with cardiac problems or on digitalis preparations.
C Incorrect. An apical pulse should be taken on all children under 2 years of age, not 5.
D Incorrect. Apical pulse should be taken on the child under 2 years of age and the child with a cardiac problem.
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