A client is constipated and trying to have a bowel movement. How does holding the breath and pushing down (the Valsalva maneuver) affect the pulse?

Question

Quizplus · Accepted Answer

The Valsalva maneuver involves holding the breath and pushing down, which increases intra-abdominal pressure and stimulates the vagus nerve. This stimulation can result in a decrease in the heart rate. Therefore, choice C is the best answer. Choice A is incorrect because although the left ventricle pumps more forcefully during the maneuver, it does not necessarily result in a stronger pulse. Choice B is incorrect because it suggests an increase in heart rate, which is not the usual response to the Valsalva maneuver. Choice D is also incorrect because it suggests a decrease in cardiac efficiency, which is not directly related to the maneuver.

A Client Is Constipated and Trying to Have a Bowel