When evaluating the radial pulse measurement technique of the nursing assistant,the nurse identifies appropriate technique when the assistant:

Question

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Assist patient to assume a supine or sitting position.If supine,place the patient's forearm straight alongside or across lower chest or upper abdomen with wrist extended straight.If sitting,bend the patient's elbow 90 degrees and support the lower arm on chair or on the nurse's arm.Slightly extend or flex the wrist with palm down until the strongest pulse is noted.Lightly compress against the radius,obliterate the pulse initially,and then relax pressure so the pulse becomes easily palpable.
Pulse is assessed more accurately with moderate pressure.Too much pressure occludes the pulse and impairs blood flow.If the pulse is regular,count rate for 30 seconds and multiply total by 2.If the pulse is irregular,count rate for 60 seconds.Assess frequency and pattern of irregularity.

When Evaluating the Radial Pulse Measurement Technique of the Nursing