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    Hesi lpn exit proctored examQuestion 134
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    Hesi lpn exit proctored exam

    The practical nurse (PN) observes a newly hired unlicensed assistive personnel (UAP) who is counting a client's radial pulse as seen in the picture. Which action should the PN take?

    Explanation & Rationale

    A. Confirm accuracy of the pulse rate obtained by the UAP: Verifying the rate ensures accuracy but does not address an error in technique. If the UAP is using an incorrect location or method, the pulse reading may be unreliable even if counted correctly. B. Instruct the UAP to report any abnormal findings: While reporting abnormal findings is an essential part of delegation, this instruction assumes the UAP is performing the skill correctly. The nurse must first ensure that the UAP understands proper technique before emphasizing reporting. C. Demonstrate the correct pulse site to the UAP: The practical nurse should demonstrate the correct placement of fingers over the radial artery to ensure accurate assessment. Teaching proper technique prevents future errors, promotes competency, and upholds patient safety. D. Remind the UAP to check the client's pulse volume: Assessing pulse volume is an important observation, but if the pulse site is incorrect, the measurement will not be valid. Correct technique must be established before refining assessment details such as volume.

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