A nurse cares for a client who has a heart rate averaging 56 beats/min with no adverse symptoms. Which activity modification should the nurse suggest to avoid further slowing of the heart rate?
a. "Make certain that your bath water is warm."
b. "Avoid straining while having a bowel movement."
c. "Limit your intake of caffeinated drinks to one a day."
d. "Avoid strenuous exercise such as running."
ANS: B
Bearing down strenuously during a bowel movement is one type of Valsalva maneuver, which stimulates the vagus nerve and results in slowing of the heart rate. Such a response is not desirable in a person who has bradycardia. The other instructions are not appropriate for this condition.
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