What should the nurse do to ensure an accurate assessment


Problem: Steven is an adult make who comes into the clinic with complaints of mild chest pain which started yesterday. Your initial assessment findings are as follows:

Temp: 98.8

Respiration 28

Pulse 110

BP 168/94

Q1. Which, if any of these findings are concerning for the nurse and why?

Q2. The physical assessment of this client should Involve both objective and subjective data. What questions would the nurse ask this client in order to further assess his current condition? Your response should include at least three questions you would ask this client.

Q3. While assessing this client radial pulse the nurse notes it's irregular. What should the nurse do to ensure an accurate assessment of the heart rate and rhythm?

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