Sinus Bradycardia and Sinus Tachycardia

Commit to an answer before reading. These probe the reflex most nurses have to unlearn. 1. A post-operative client's heart rate is 122. Would you expect treating the rate itself to be the priority? 2. A marathon runner admitted for a fractured wrist has a resting heart rate of 44 and feels entirely well. Does this require intervention? 3. Two clients each have a heart rate of 116. One is febrile at 39.1 degrees Celsius; the other is normothermic with a blood pressure that has fallen from 132/78 to 94/56 mmHg over two hours. Which is more concerning, and why? Keep your answers. The lesson gives you a mechanism to check them against.