The nurse is teaching a patient what complications to report with a pacemaker rate set at 72 beats/minute. Which patient response indicates that further teaching is necessary?
a. "A pulse of 74 is still considered safe."
b. "Any pulse rate over 60 is considered adequate."
c. "If my pulse is 90, then I should notify the doctor."
d. "My pulse rate will most likely be 72 when I take it."
ANS: B
For a pacemaker set at 72 beats per minute, a radial pulse over 60 is not adequate. A. C. D. Patients should be taught to take a radial pulse, as it is easier to learn than an apical pulse, for 1 minute and to report if it is five beats over or under the set pacemaker rate.
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