A client has a heart rate averaging 56 beats/min with no adverse symptoms. What activity modifications does the nurse suggest to avoid further slowing of the heart rate?
a. "Make certain that your bath water is warm (100° F)."
b. "Avoid bearing down or straining while having a bowel movement."
c. "Avoid strenuous exercise, such as run-ning, during the late afternoon."
d. "Limit your intake of caffeinated drinks to no more than 2 cups per day."
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 desira-ble in a person who has bradycardia. The other instructions are not appropriate for this condition.
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