## Anatomy & Physiology Cardiac #18

### Question

Which client heart rate would cause the nurse to document bradycardia in the medical record?

1. 58 beats per minute
• Rationale:

A heart rate that is less than 60 beats per minute (e.g., 58 beats per minute) is documented as bradycardia. If the client’s heart rhythm is normal, the documentation from the nurse would read sinus bradycardia.

2. 68 beats per minute
• Rationale:

68 beats per minute is a normal heart rate; therefore, the term bradycardia is not used in the client’s medical record upon documentation.

3. 78 beats per minute
• Rationale:

78 beats per minute is a normal heart rate; therefore, the term bradycardia is not used in the client’s medical record upon documentation.

4. 88 beats per minute
• Rationale:

88 beats per minute is a normal heart rate; therefore, the term bradycardia is not used in the client’s medical record upon documentation.

### Overview

The normal range for a clientâ€™s pulse, or heart rate, is 60 to 100 beats per minute.

### Learning Outcomes

Bradycardia is the term to describe a slow pulse rate, typically less than 60 beats per minute. The term sinus is used when the clientâ€™s heart rhythm is normal as well. A heart rate that is elevated, but consists of a normal rhythm, is termed sinus tachycardia.

### Test Taking Tip

Remember that normal range for the heart rate to answer this question correctly.