You are working in a cardiac rehabilitation program where you are supervising a patient who had an MI and is now active in the cardiac rehabilitation program
What would you teach this patient about self-monitoring her activity and when to stop exercising?
A) The patient experiences chest pain, palpitations, or dyspnea
B) An increase in systolic or diastolic blood pressure greater than 20 mm Hg
C) Oxygen saturation at 94%
D) Increase in respiratory rate of 30 breaths/minute
Ans: A
Feedback: Any activity or exercise that causes dyspnea and chest pain should be stopped in the patient with CAD. Heart rate rather than respiratory rate determines the parameters for exercise. An increase in BP more than 20 mm Hg or ST-segment EKG changes are also indicators to stop exercising but these are not able to be self-monitored.
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