A patient is receiving an IV medication that requires dosage adjustments based on their heart rate. The provider's order specifies modifying the infusion rate if the heart rate falls outside 60 BPM. The nurse assesses the patient and finds their heart rate at 58 BPM. What is the nurse’s best course of action?
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Increase the infusion rate to adjust for the heart rate
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Reduce the infusion rate according to the order
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Leave the infusion rate as it is and continue monitoring
The nurse must follow the provider's order to decrease the infusion rate when the heart rate drops below 60 BPM. This adjustment aligns with the parameters provided to safely manage the patient. Increasing the infusion rate is contraindicated as it may worsen bradycardia. Leaving the infusion rate unchanged ignores the directive in the order and could compromise patient safety. Similarly, stopping the infusion and contacting the provider without evidence of an emergency interrupts treatment unnecessarily and is not aligned with the given instructions.
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Why is it important to adjust IV medication based on heart rate?
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NCLEX RN
Physiological Integrity
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