When Assessing the Pulse of a 6-Year-Old Boy,the Nurse Notices

question 33

Multiple Choice

When assessing the pulse of a 6-year-old boy,the nurse notices that his heart rate varies with his respiratory cycle,speeding up at the peak of inspiration and slowing to normal with expiration.The nurse's next action would be to:

• A)Immediately notify the physician.
• B)Consider this finding normal in children and young adults.
• C)Check the child's blood pressure, and note any variation with respiration.
• D)Document that this child has bradycardia, and continue with the assessment.

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Definitions:

Best Choice

The best choice indicates the most suitable or advantageous option selected from a range of alternatives.

Mental Models

Internal representations of the outside world that individuals use to understand and interact with it.

Production Blocking

A phenomenon in group brainstorming sessions where the flow of ideas is inhibited because only one person can speak at a time.

Satisfice

A decision-making strategy that aims for a satisfactory or adequate outcome, rather than the optimal solution, due to the limitations of the decision-making process.