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While Counting the Apical Pulse on a 16-Year-Old Patient, the Nurse

Question 22

Multiple Choice

While counting the apical pulse on a 16-year-old patient, the nurse notices an irregular rhythm. His rate speeds up on inspiration and slows on expiration. What should the nurse do?


A) Document this as a normal finding.
B) Talk with the patient about his intake of caffeine.
C) Perform an electrocardiogram after the examination.
D) Refer the patient to a cardiologist for further testing.

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