When counting a radial pulse, which action is correct?

• A. count pulse for one minute -> write down count obtained with date & time
• B. write down count obtained with date & time -> count pulse for one minute
• C. count pulse for 30 seconds -> multiply by 2
• D. listen with stethoscope

Answer: (A)

Counting a radial pulse for a full minute is the best practice because it ensures an accurate beats-per-minute rate, especially if the rhythm is irregular. Taking the time to count for a full 60 seconds captures any variation in pace and provides a precise measurement. After you’ve obtained the count, document it with the date and time so the finding is properly recorded in the patient’s records. Counting for only 30 seconds and doubling can miss rhythm variations and lead to an inaccurate rate, and using a stethoscope is for listening to the apical pulse at the chest, not the radial pulse at the wrist.