The Nurse Notes That a Patient with a History of a Myocardial

question 20

Multiple Choice

The nurse notes that a patient with a history of a myocardial infarction is straining during defecation. Which of the following responses by the nurse is best?

• A)"It is important that you not strain because it could cause damage to your heart."
• B)"Your blood pressure gets very low when you strain like that and you could faint."
• C)"Chronic constipation often causes a dilated colon, so it is good that you are staying empty."
• D)"Be careful, you might get a headache when you push so hard."

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