What intervention should a nurse implement before administering atenolol to a client with a heart rate of 58 bpm?

Administering atenolol, a beta-blocker, is commonly prescribed for various heart conditions, including hypertension and heart rhythm issues. However, it is crucial to consider the patient's heart rate before proceeding with the medication. A heart rate of 58 beats per minute indicates bradycardia, which is significant as beta-blockers can exacerbate this condition.

The safest intervention in this scenario involves holding the medication and contacting the healthcare provider. Holding the dose allows the healthcare provider to assess the situation, adjust medication if necessary, or investigate further the cause of the bradycardia. This action prioritizes patient safety, ensuring that the nursing care aligns with pharmacological protocols regarding beta-blocker administration. It is also essential to continue monitoring the client's vital signs and overall condition to provide comprehensive care.

In contrast, simply administering the medication while monitoring (as suggested in the selected answer) could potentially lead to further cardiovascular risks. The other choices, such as preparing to administer atropine sulfate, are more invasive measures that may not be warranted unless directed by a healthcare provider. Lowering the head of the bed and assessing for orthostatic changes is also not relevant to the immediate concern regarding the heart rate in relation to beta-blocker administration.