What should be the nurse's response to changes in heart rate?

Assessing the patient for other signs of distress is the appropriate response to changes in heart rate because it allows the nurse to gather essential information that will inform clinical decisions. A change in heart rate can indicate various underlying issues, including anxiety, pain, or cardiac problems. By assessing the patient further, the nurse can look for accompanying symptoms—such as changes in blood pressure, respiratory rate, or overall patient behavior—that may provide insight into the patient’s condition.

This thorough assessment can help identify whether the change in heart rate is an isolated incident or part of a broader pattern that requires intervention. It emphasizes the importance of holistic patient evaluation in nursing practice, ensuring that any necessary actions are based on a comprehensive understanding of the patient’s health status rather than assumptions. This approach aligns with nursing standards that prioritize patient safety and effective care management.