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    Nur 215 Mental Health Proctored Exam ( Montgomery Community College)

    The nurse is addressing exercise and physical activity during discharge education with a client diagnosed with heart failure. What should the nurse teach this client about exercise?

    Explanation & Rationale

    Choice A reason: High-impact activities, such as running, increase cardiac demand and oxygen consumption, which can exacerbate heart failure symptoms due to reduced cardiac reserve. These activities are contraindicated, as they may lead to decompensation, worsening dyspnea, or fatigue in clients with heart failure. Choice B reason: In heart failure, exercise improves cardiovascular fitness but must be moderated to avoid over PLEASE ASSIST WITH FORMATTING overexertion. Slowing down if dizzy or short of breath prevents decompensation by reducing cardiac strain, ensuring safety while promoting gradual physical activity. Choice C reason: Unsupervised exercise is not universally contraindicated in heart failure, as tailored exercise programs can be safe with medical clearance. Requiring constant supervision is overly restrictive and may discourage beneficial physical activity, which is important for improving heart failure outcomes with proper guidance. Choice D reason: Aiming for 30 minutes of daily exercise is a long-term goal for heart failure clients but may be unrealistic initially due to limited exercise tolerance. Gradual progression under medical supervision is needed, as immediate high-duration exercise could lead to overexertion and worsening symptoms.

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