A nurse is teaching a client who had a myocardial infarction about continuing to exercise after discharge. Which of the following statements by the client indicates an understanding of the teaching?

"I will check my pulse after I exercise."

"If I feel any angina pain, I'll slow down my walking."

"I'll do push-ups every day to strengthen my upper body."

"I will avoid aerobic exercises."

Answer and Explanation

The Correct Answer is A

A. "I will check my pulse after I exercise." Monitoring the pulse after exercise helps the client assess their heart's response and recovery. It is a key part of safe cardiac rehabilitation and helps ensure they are exercising within the recommended target heart rate.

B. "If I feel any angina pain, I'll slow down my walking." Angina pain during activity is a warning sign of cardiac stress and should not be ignored. The client should stop exercising immediately and seek medical attention if symptoms persist, rather than slowing down.

C. "I'll do push-ups every day to strengthen my upper body." Isometric exercises like push-ups are generally discouraged in early cardiac recovery, as they increase intrathoracic pressure and cardiac workload. Aerobic exercises like walking are safer and more beneficial.

D. "I will avoid aerobic exercises." Aerobic exercise is recommended as part of cardiac rehabilitation after a myocardial infarction. It improves cardiovascular function and endurance when introduced gradually and monitored appropriately.

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Correct Answer is C

Explanation

A. 1 cup of strawberries: While strawberries provide some dietary fiber and vitamins, they are not as fiber-dense per serving compared to whole grains or legumes. One cup contains about 3 grams of fiber.

B. 1 stalk of celery: Celery has minimal fiber content—about 1 gram per stalk—and is mostly water. It can be part of a high-fiber diet but is not the best source among the options listed.

C. 1 cup of oatmeal: Oatmeal is an excellent source of soluble fiber, particularly beta-glucan, which helps improve bowel regularity and reduce cholesterol. One cup contains around 4–5 grams of fiber, making it the highest in this list.

D. 1 oz of peanuts: Peanuts contain some fiber (around 2–3 grams per ounce) and protein, but their fat content is high, and they are not primarily used as a fiber-rich food source. They are less beneficial for increasing bulk in stool compared to oatmeal.

A. "As a part of adolescent healthcare, parents and guardians are informed about the status of their children for any healthcare concern." B. "Depending on the results of the tests, there are mandated reports that must be made to the local health department." C. "You must have a parent present for the procedure, so your parent will be informed about the testing." D. "Most states will not allow you to consent to this type of testing without parental involvement."

Correct Answer is B

Explanation

A. "As a part of adolescent healthcare, parents and guardians are informed about the status of their children for any healthcare concern." Many states allow adolescents to consent to STI testing and treatment without parental notification. Informing parents without consent may violate privacy laws and discourage adolescents from seeking care.

B. "Depending on the results of the tests, there are mandated reports that must be made to the local health department." This response balances confidentiality with legal reporting obligations for public health purposes and provides clear, honest information to the adolescent.

C. "You must have a parent present for the procedure, so your parent will be informed about the testing." Adolescents often have the legal right to receive confidential STI testing and treatment without parental consent or presence.

D. "Most states will not allow you to consent to this type of testing without parental involvement." In the majority of U.S. states, minors can legally consent to testing and treatment for sexually transmitted infections without parental involvement.

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A nurse is teaching a client who had a myocardial infarction about continuing to exercise after discharge. Which of the following statements by the client indicates an understanding of the teaching?

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