A patient hospitalized for cellulitis has a history of heart failure. The provider orders "ambulate in hall three times daily." Before the morning walk, the patient reports new-onset chest heaviness rated 4/10 and telemetry shows frequent premature ventricular contractions. Which action is appropriate?
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AProceed with the ambulation but shorten the distance
BPerform low-intensity bed exercises instead of walking
CAdminister PRN oxygen and proceed with extreme caution
DImmediately defer the activity and notify the provider
EAssist the patient to a chair to reduce cardiac workload
✓ Correct answer: D. Immediately defer the activity and notify the providerNew-onset chest heaviness and PVCs indicate cardiac instability. Safety guidelines mandate deferring activity during acute symptoms. Proceeding with ambulation or performing bed exercises risks exacerbating the potential cardiac event.
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