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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?

A.

"I will check my pulse after I exercise."

B.

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

C.

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

D.

"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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Related Questions

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"}}

Explanation

  • Monitor blood pressure every hour:Frequent blood pressure monitoring is necessary due to the client’s history of chronic hypertension and gestational diabetes, both of which increase the risk for preeclampsia.
  • Initiate an IV infusion of lactated Ringer's:IV fluids help maintain hydration, support uteroplacental perfusion, and provide a route for medications if needed. This is a routine step in labor management.
  • Place the client in a left lateral position:This position enhances uteroplacental circulation by reducing pressure on the inferior vena cava, especially important when fetal heart rate shows minimal variability.
  • Maintain continuous monitoring of the FHR:Minimal variability and elevated baseline (168/min) warrant continuous fetal monitoring to assess for potential fetal distress or effects of meconium-stained fluid.

Correct Answer is A

Explanation

A. Liver function tests:Valproic acid is hepatotoxic and can lead to serious liver injury, especially in the early months of therapy. Baseline liver function tests (LFTs) are essential to assess hepatic status and establish a comparison point for future monitoring during treatment.

B. Potassium level:While important for general health, potassium is not directly affected by valproic acid. Valproic acid does not typically cause significant alterations in potassium, making this lab less relevant as a baseline before the first dose.

C. Uric acid level:Uric acid levels are more commonly associated with conditions like gout or medications like diuretics. Valproic acid does not impact uric acid metabolism, so this is not a priority lab for initiating therapy.

D. Thyroid function tests:Thyroid monitoring is more relevant for medications like lithium, which can cause hypothyroidism. Valproic acid does not typically interfere with thyroid function, so TSH or T4 levels are not necessary at baseline.

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