During a home visit an older patient with heart disease tells the nurse of plans to shovel the snow as soon as the visit concludes. How should the nurse instruct the patient at this time?
1. Shovel the steps only.
2. Avoid shoveling at this time.
3. Shovel for 30 minutes at a time.
4. Shovel for 10 minutes and then stop.
2. Avoid shoveling at this time.
Explanation: 1. The older heart cannot respond to stressful stimuli as well as the younger heart. The patient should be cautioned not to engage in stressful activities like vigorous shoveling of snow without engaging in a gradual exercise program to build fitness. Shoveling the steps could be harmful to the patient.
2. The older heart cannot respond to stressful stimuli as well as the younger heart. The patient should be cautioned not to engage in stressful activities like vigorous shoveling of snow without engaging in a gradual exercise program to build fitness.
3. The older heart cannot respond to stressful stimuli as well as the younger heart. The patient should be cautioned not to engage in stressful activities like vigorous shoveling of snow without engaging in a gradual exercise program to build fitness. Shoveling for 30 minutes could be harmful to the patient.
4. The older heart cannot respond to stressful stimuli as well as the younger heart. The patient should be cautioned not to engage in stressful activities like vigorous shoveling of snow without engaging in a gradual exercise program to build fitness. Shoveling for 10 minutes could be harmful to the patient.
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