he nurse observes that a client’s pulse rate is 58 beats per minute an

he nurse observes that a client’s pulse rate is 58 beats per minute and regular in rhythm. Which of the following statements made by the nurse shows the appropriate understanding of the client’s further need for assessment?

1. “I’ll wait 15 minutes and reevaluate the client’s pulse rate.”
2. “Her pulse rate is usually in the mid 60s, so there isn’t a problem.”
3. “I’ll need to assess her for the presence of chest pain and/or dizziness.”
4. “You run an electrocardiogram, and I’ll notify her health care provider.”

ANSWER

ANS: 3
A low but regular heart rate has no clinical significance unless associated with signs and symp-toms of reduced cardiac output such as dizziness or syncope or the presence of chest pain.