While caring for a client with severe aortic stenosis, the nurse understands that limited activity is essential to prevent fatigue. Which of the following instructions is (are) appropriate? Select all that apply
1. Discontinue activity if chest pain or shortness of breath occurs.
2. Explore sedentary activities.
3. Maintain balanced nutrition to ensure adequate caloric intake.
4. Administer humidified oxygen as prescribed.
5. Follow a progressive activity schedule that increases activity level by 10% each week.
1. Discontinue activity if chest pain or shortness of breath occurs.
2. Explore sedentary activities.
3. Maintain balanced nutrition to ensure adequate caloric intake.
Rationale: Discontinue activity if chest pain or shortness of breath occurs. It is important to have an activity plan that prevents fatigue. Teaching the client when to stop activities is essential in preventing extra workload on the heart and fatigue. Explore sedentary activities. Exploring sedentary activities that the client enjoys will help decrease cardiac workload. Maintain balanced nutrition to ensure adequate caloric intake. Well-balanced nutrition will provide the needed calories for energy expenditure. Administer humidified oxygen as prescribed. Activity that would require oxygen is too strenuous. Follow a progressive activity schedule that increases activity level by 10% each week. A progressive activity plan would not be feasible with severe aortic stenosis.
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a. Use an in-line filter to remove the crystals. b. Warm the solution to redissolve the crystals and then cool to body temperature for administration. c. Mix the crystals with normal saline to dilute them, and administer as prescribed. d. Discard the solution because of contamination and reorder from the pharmacy.