Q. Most non-traumatic cardiac arrests (CAs) occur at home and in the bathroom. The bathroom is a closed room where CAs frequently happen to patients who are having a bowel movement. However, due to the feelings of privacy that are associated with this room a patient can go undiscovered, and therefore untreated, for an extended period of time. In particular, nursing homes and other elder care facilities are high risk areas for constipation-related MI. A nursing home physician is discussing safety precautions with a new patient. While discussing the risk of bathroom related MIs, she mentions which of the following actions as dangerous.

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