Question

A client who had coronary artery bypass surgery states to the home health nurse, "I get so frustrated. I can't even do my gardening." The nurse then assesses the client for activity level since the surgery. Which client statement indicates a need for further teaching?

1."I pace my activities throughout the day."
2."I plan regular rest periods during the day."
3."I avoid outdoor physical activity during the heat of the day."
4."I try to walk immediately after lunch, after I've finished my morning housecleaning."

Answer 1

The statement that requires further teaching is the client's intention to walk immediately after lunch following morning housecleaning, as it may cause unnecessary strain on the heart. Patients recovering from coronary artery bypass surgery should space out their activities and avoid vigorous exercise immediately after eating to ensure a safe recovery.

Step-by-step explanation:

The client's statement indicating a need for further teaching is, "I try to walk immediately after lunch, after I've finished my morning housecleaning." Engaging in physical activity immediately after a meal, especially after already completing potentially exhausting activities like morning housecleaning, may be too strenuous for a patient recovering from coronary artery bypass surgery. It's important for patients to pace their activities and include rest periods to avoid overstressing the heart during recovery.

Pacing involves spacing out activities to prevent fatigue and strain on the cardiovascular system. It is recommended to have a period of rest or light activity following a meal to facilitate digestion. Additionally, engaging in multiple strenuous activities back-to-back can increase the workload on the heart, which is not advisable for someone who is recovering from surgery. Instead, the patient should aim for a moderate exercise program, and gentle physical activity spread throughout the day to maintain vascular homeostasis without overexertion.