An older adult is performing isometric and isotonic exercises. What should the nurse suggest in order to prevent an accidental Valsalva maneuver?
a. Hold the breath during an exercise cycle.
b. Breathe through the mouth.
c. Breathe deeply and rhythmically during an exercise cycle.
d. Breathe in through the nose and out through the mouth.
ANS: B
Breathing through the mouth makes it impossible to hold the breath, and bearing down cannot be performed. The Valsalva maneuver increases blood pressure and may cause cardiac overload.
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