The nurse measures pulse rate on a young adult male and obtains a rate of 44 per minute. The nurse would consider this pulse rate normal if which of the following data were assessed?
1. The client is on Lanoxin (digoxin) for heart disease.
2. The client is an athlete.
3. The client has Kawasaki's disease.
4. The client has a congenital cardiac defect.
2
Rationale: When all other vital signs and assessments are normal, and the client has no signs or symptoms of reduced perfusion, the nurse would consider the pulse rate acceptable if the client were an athlete. Athletes strengthen their cardiac muscle, resulting in increased stroke volume, requiring a lower pulse rate to meet tissue demands. A heart rate of 44 would be considered abnormal and potentially dangerous for all of the other options.
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