A young male athlete is admitted to the hospital after collapsing at football practice. The medical diagnosis is hypertrophic obstructive cardiomyopathy. The nurse expects that which activity recommendation will be necessary?
1. The patient should limit fluid intake while exercising.
2. The patient should stop playing football and other strenuous sports.
3. The patient will need to gradually return to previous levels of exercise.
4. Exercise is not related to hypertrophic cardiomyopathy symptomology.
2
Rationale 1: This patient should maintain hydration.
Rationale 2: The patient with hypertrophic obstructive cardiomyopathy should avoid strenuous exercise.
Rationale 3: Strenuous exercise is contraindicated in patients with hypertrophic obstructive cardiomyopathy.
Rationale 4: Exercise increases heart rate and the metabolic demand for oxygen. Exercise tends to precipitate symptoms.
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