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NCLEX-RN

Category - Reduction of Risk

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A nine-year-old client is admitted to the emergency room because of severe diarrhea and vomiting. The client is lethargic and has cold extremities. Temperature is increased. The respiratory rate is slightly increased. When taking the pulse rate, which site should the nurse use?

Radial pulse
Apical pulse
Carotid pulse
Dorsal pedis pulse

Explanation

Answer: A - The nurse can take the client’s pulse rate through the radial pulse, the most convenient and accessible site. Apical pulse is used when irregular pulse rate is noted. Carotid pulse is usually used when evaluating for pulse during cardiopulmonary resuscitation or severe circulatory collapse. Dorsalis pedis is rarely used; it is usually used to evaluate peripheral circulation.

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