For a 40-year-old client who wants to be more active the first 24 hours after an MI, the nurse could safely suggest that the client
a. ambulate in the hall with supervision.
b. perform gentle isometric exercises.
c. take a bath in the shower.
d. use the bedside commode for bowel movements.
D
The client should be on complete bed rest for the first day or so after MI, with use of the bedside commode for bowel movements. Using a bedpan involves more straining and increases the chances of a vagal response. Walking in the hallway is usually started after the client transfers out of the coronary care unit. Showering must be done carefully in warm, not hot, water with a shower chair. Isometric exercises should be avoided.
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