A 65-year-old male with several risk factors for CAD is scheduled for exercise testing in 2 days. The clinic nurse calls the client at home to provide instruction prior to testing
Which of the following statements made by the client indicates a need for further teaching? 1. "I may have a cigarette or two just before the test because I'm very nervous about the results.".
2. "I won't eat for at least 3 hours prior to the test.".
3. "I will walk on a treadmill and my heart and blood pressure will be monitored.".
4. "I will check with the doctor to see if I should take my heart medications but will hold my metformin until after the test.".
"I may have a cigarette or two just before the test because I'm very nervous about the results.".
Rationale: Clients should be instructed not to eat or smoke for 3 hours before the testing. Because the client indicated that he will smoke up to the time of testing, further teaching is indicated. The client's understanding of how the test is performed is accurate. Cardiac medications are typically not held; however, the client should confirm this with the health care provider. Because the client is NPO for the test, metformin should be held until the test is completed and a diet can be resumed.
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