A client who participates in marathon running is in the clinic for an annual checkup. The nurse is performing a physical examination on the client, and notes that the heart rate is 53 BPM. What should the nurse do?
1. Notify the physician.
2. Get the code cart.
3. Have the client lie down to rest.
4. Continue the assessment.
Answer: 4
1. The physician does not need to be notified, as this is normal for this client.
2. The code cart is not needed for this client.
3. The client might need to lie down if there were symptoms, which are not evident here.
4. Athletes frequently have lower heart rates than nonathletes, which is a normal phenomenon for them. These clients do not have symptoms associated with sinus bradycardia.
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