Mrs. Norman, a 69 year-old female, was admitted to the coronary care unit due to myocardial infarction. Mrs. Norman is about to be transferred to a general medical unit. Cardiac monitoring through telemetry is attached. A nurse in the general medical unit is assigned to receive Mrs. Norman. The nurse is correct to include all of the following client activities in the care plan EXCEPT:
  1. Bathroom privileges
  2. Self-care activities
  3. Strict bed rest for the first 24 hours
  4. Supervised ambulation in the hall for brief distances
Explanation
Answer: C - On transfer to the general medical unit, bathroom privileges and self-care activities are allowed; strict bed rest for the first 24 hours is not encouraged. The nurse must assist the client during ambulation. At first, ambulation should be limited, then distances may be gradually increased.
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