The nurse is providing preoperative teaching for a patient who will be having a coronary artery bypass graft (CABG). What is a priority nursing intervention for this patient?
1. Ensure the patient and family understand the various tubes that the patient will have in place.
2. Teach the patient about an incentive spirometer.
3. Discuss the location of the bed controls in the intensive care unit.
4. Teach the patient to request pain medication when the pain is unbearable.
1
Rationale 1: The patient and family need to understand the location of the incision and the various tubes that the patient will have in place when the family first sees the patient after the surgery.
Rationale 2: Teaching about the use of the incentive spirometer is important, but it is not the highest priority.
Rationale 3: The location of the bed controls in the ICU becomes an issue after the patient arrives there.
Rationale 4: The patient should be taught to request pain medications before pain is severe. Pain will initially be managed by the nurse.
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The nurse is taking care preoperatively of a client who will be having a coronary artery bypass graft (CABG). What is a priority nursing intervention for this client?
1. Ensure the client and family understands the various tubes that the client will have when the family first sees the client. 2. Teach the client to request pain medication when the pain is unbearable. 3. Discuss the location of the bed controls in the intensive care unit. 4. Teach the client about an incentive spirometer.
A mother watches as a neonate cries, spreads his arms, and draws them in again in response to being pulled up and laid back down. She asks the nurse what is going on with her baby. What is the best explanation for this response?
A) "Your baby is experiencing gas, and this movement helps to expel it." B) "Your baby is demonstrating a normal CNS response called the Moro reflex." C) "Your baby is experiencing the signs and symptoms of an abnormal neural response to being startled." D) "Your baby's actions are normal automatic movements to help maintain core body temperature."