ATI Nurs 112 Fundamentals of Nursing Exam | Nurselytic

Correct Answer: B

Rationale: The correct answer is B: Immediately check the client's carotid pulse. When a patient's blood pressure drops significantly and they exhibit signs of impending fainting, it is crucial to assess for the presence of a pulse to determine if the patient is still perfusing adequately. Checking the carotid pulse allows for a quick assessment of the central pulse, which is essential in this situation. This can help determine if the drop in blood pressure is causing inadequate perfusion and guide the nurse in initiating appropriate interventions promptly.



Choices A, C, and D are incorrect because in this critical situation, the priority is to assess for perfusion by checking the pulse. Checking the apical rate for a pulse deficit, elevating the head of the bed, or reporting the findings to the health care provider can be important actions but are not the immediate priority when the patient is showing signs of impending fainting due to a significant drop in blood pressure.

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