A client comes to the health care provider's office for a follow-up visit 4 weeks after suffering a myocardial infarction (MI).
Which evaluation statement suggests that the client needs more instruction?A. "Client performs relaxation exercises three times per day to reduce stress." B. "Client walks 4 miles in 1 hour every day."
C. "Client's 24-hour dietary recall reveals low intake of fat and cholesterol."
D. "Client verbalizes an understanding of the need to seek emergency help if his heart rate increases markedly while at rest."
Immediately after a heart attack, it is recommended that the patient be at rest so as not to overload the muscle that was recently affected. The duration of this rest varies according to the case: when the infarction generates more serious problems, the tendency is for the rest time to be longer than in cases where the repercussions were smaller.
In cases of myocardial infarction, the total recovery time could be estimated on average at 30 days, ie an average of 4 weeks of rest. After this period the patient should start light exercises that do not overload the heart. These exercises should become more intense over time. For this reason, we can say that after 4 weeks of myocardial infarction, the patient is not able to walk 4 miles in an hour every day, because this would be a very intense exercise for a patient under these conditions.
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