The client is admitted to the coronary care unit with a myocardial infarction. Prior to discharge, which client statement indicates that adequate learning has occurred?
1. "I'm just sick to my stomach because I ate something that didn't agree with me."
2. "I think I must have given myself a little too much insulin this morning."
3. "I've been breathing fast and my heart's been racing because my heart's not working right."
4. "Just give me something for the nausea and I can go home."
Correct Answer: 3
The client is correct when he states that his heart is not working well and his respiratory rate and heart rate are up because of it. The client does not understand the importance of the symptoms that he is experiencing. The client believes that the nausea is unrelated to an acute cardiovascular event such as a myocardial infarction. The client believes that his symptoms are related to hypoglycemia and will require education about the seriousness of his heart condition. The client will be unable to go home until after he is stabilized and medically fit to return home.
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