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A few days after experiencing an MI, the patient states, "I just had a little chest pain. As soon as I get out of here, I'm going for my vacation as planned." Which nursing intervention is appropriate to include in the nursing care plan?

a. Have the family members encourage the patient to continue planning for the vacation.
b. Allow the use of denial as a coping mechanism until the patient begins asking questions about the MI.
c. Implement reality orientation by reminding the patient several times a day about the MI.
d. Begin teaching the patient about the normal functions of the heart to improve understanding of the MI.

User Kuzyn
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Final answer:

The appropriate nursing intervention is to begin educating the patient about the heart's normal functions to enhance their understanding of the MI and the need for a careful recovery process. This intervention is vital in helping the patient recognize the severity of an MI and the importance of adopting lifestyle changes and following medical advice for a better prognosis.

Step-by-step explanation:

When a patient minimizes the severity of their myocardial infarction (MI) a few days post-event and plans to continue with activities as if nothing has happened, it is crucial to address their understanding and acceptance of the condition. The appropriate nursing intervention in the care plan would be d. Begin teaching the patient about the normal functions of the heart to improve understanding of the MI. This education should emphasize the seriousness of a heart attack and the importance of gradual recovery, lifestyle modifications, and adherence to medical advice. The teaching should also cover why rest, cardiac rehabilitation, and necessary lifestyle changes are vital for preventing further cardiac events.

It's important for the patient to understand that an MI can cause permanent damage to the heart, posing risks for arrhythmias, heart failure, and cardiac arrest. Proper education can help the patient recognize the significance of their condition and the necessity of taking appropriate steps toward recovery rather than engaging immediately in strenuous activities like vacationing.

User Ajerneck
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