What should be done if a resident's heart rate is 54 after starting a beta-blocker?

When a resident's heart rate is 54 beats per minute after initiating treatment with a beta-blocker, it is prudent to hold the next dose and report the finding to the nurse. Beta-blockers are medications that can reduce heart rate, and a pulse of 54 may indicate bradycardia, which is slower than the normal range.

Holding the dose allows time for proper assessment and potential intervention by nursing staff or a physician, ensuring the resident's safety. Reporting to the nurse is critical because they can evaluate the situation comprehensively and determine the next appropriate steps based on the patient's overall condition and medication regimen. This approach emphasizes collaboration in healthcare, prioritizing the well-being of the resident while adhering to protocols regarding medication management.