A patient with mitral regurgitation is instructed to report to the health care provider if it becomes too difficult to perform activities of daily living. What is the nurse's rationale for providing this instruction?
1. Activity intolerance indicates acute respiratory distress.
2. The patient may have experienced a myocardial infarction.
3. These changes indicate that it is time to consider valve replacement.
4. Infective endocarditis is developing.
3
Rationale 1: Acute respiratory distress will result in activity intolerance, but this is not the reason this assessment is important to this patient.
Rationale 2: A slowly progressive reduction in activity tolerance is not typically associated with MI.
Rationale 3: The patient's ability to perform activities of daily living serves as the indicator of when it is time to replace the valve. The goal is to replace the valve before there is permanent left ventricular damage.
Rationale 4: Infective endocarditis can result in these assessment findings, but this is not the primary reason the assessment is crucial for this patient.
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