A nurse teaches a client with a past history of angina who has had a total knee replacement. Which statement should the nurse include in this client's teaching prior to beginning rehabilitation activities?
a. "Use analgesics before and after activity, even if you are not experiencing pain."
b. "Let me know if you start to experience shortness of breath, chest pain, or fatigue."
c. "Do not take your prescribed beta blocker until after you exercise with physical therapy."
d. "If you experience knee pain, ask the physical therapist to reschedule your therapy."
ANS: B
Participation in exercise may increase myocardial oxygen demand beyond the ability of the coronary circulation to deliver enough oxygen to meet the increased need. The nurse must determine the client's ability to tolerate different activity levels. Asking the client to notify the nurse if symptoms of shortness of breath, chest pain, or fatigue occur will assist the nurse in developing an appropriate cardiac rehabilitation plan.
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