Final answer:
To prevent a Valsalva maneuver in a client recovering from acute myocardial infarction, a nurse would administer stool softeners regularly to facilitate easier bowel movements and reduce strain.
Step-by-step explanation:
To prevent a Valsalva maneuver in a client recovering from an acute myocardial infarction, the nurse would administer stool softeners every day as ordered. The Valsalva maneuver, which involves holding one's breath and straining, can increase intrathoracic pressure and potentially put strain on the heart. Therefore, it is important to avoid conditions that would lead the patient to strain while defecating. Administering stool softeners will help ensure that the patient's bowel movements are soft and easier to pass, reducing the need for straining. This is a better preventive measure compared to using the bedside commode, administering anti-dysrhythmic medications only when needed, or maintaining strict bed rest, as these do not directly prevent the patient from performing Valsalva maneuvers during bowel movements.
The valsalva maneuver involves holding the breath and straining, which can increase intra-abdominal pressure and put strain on the heart. Using the bedside commode reduces the need for straining during bowel movements.
The nurse may also administer stool softeners every day as ordered. Stool softeners help prevent constipation and make bowel movements easier, reducing the risk of the valsalva maneuver.
Administering anti-dysrhythmics prn as ordered can help manage any dysrhythmias that may occur during the recovery period and prevent the valsalva maneuver.