The exercise tolerance of an older adult is impaired after a myocardial infarction because of a low ejection fraction

Question

Rank interventions the nurse should use to assist this individual to restore baseline functional status in order, beginning with the first intervention. a. Provide well-balanced diet.
b. Assist with range of motion.
c. Sit in chair 4 times daily.
d. Keep O2 saturation above 95%.

Answer 1

d, a, b, c

a. Second, the nurse provides a well-balanced diet for tissue building and repair. The patient has little hope of resuming baseline functioning without adequate food for fuel and main-taining muscle bulk.
b. Third, to help maintain muscle bulk and joint flexibility, the nurse helps the patient to perform range of motion exercises in preparation for more strenuous physical activity.
c. Finally, before ambulation, the nurse ensures that the patient is up to the chair 4 times a day as progress toward restoring baseline functioning.
d. First, the nurse helps to maintain myocardial oxygenation by keeping the patient's SaO2 above 95% because, if it drops below that level, the arterial blood lacks sufficient oxygen to meet tissue oxygen demands.