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A medication blunts heart-rate response while the client reports hard effort at a familiar task. What should guide coaching?

  1. AFollow prescribed guidance, symptoms, and perceived exertion with workload
  2. BLower the target zone by a fixed percentage and keep pulse as the main guide
  3. CFit a chest-strap monitor so the heart-rate reading is more accurate
  4. DSuggest taking the medication after sessions so heart rate responds normally
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Answer

A

When medication blunts heart rate, effort is judged from the clinician's guidance, symptoms, and RPE in relation to the workload rather than from pulse alone.

B

A generic percentage cut still treats pulse as the main intensity marker, which the medication has made unreliable.

C

The reading is not inaccurate; the medication genuinely lowers heart rate, so a better sensor does not solve the problem.

D

Changing medication timing is a prescribing decision outside a trainer's scope and can be unsafe.

A

When medication blunts heart rate, effort is judged from the clinician's guidance, symptoms, and RPE in relation to the workload rather than from pulse alone.

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ID: NSCA-228