The nurse is doing the discharge teaching for a client who has undergone coronary artery bypass surgery. The client states that it feels good to be cured of heart disease
Understanding that denial is a common coping mechanism for cardiac clients, which response is the most appropriate? Select all that apply. 1. "The surgery only relieves the symptoms; it does not cure the disease.".
2. "You must continue to modify your cardiac risk factors.".
3. "You are correct, your heart is now normal.".
4. "You should not ever exercise again.".
5. "There no need to monitor your fat intake any longer.".
1. "The surgery only relieves the symptoms; it does not cure the disease.".
2. "You must continue to modify your cardiac risk factors.".
Rationale: "The surgery only relieves the symptoms; it does not cure the disease.". Denial is a common coping mechanism with cardiac patients; therefore, it is essential for the nurse to stress that CABG is not a cure for CAD. "You must continue to modify your cardiac risk factors.". Atherosclerosis is a progressive disease; therefore, the client needs to continue to modify risk factors. "You are correct, your heart is now normal.". CABG only relives symptoms, it does not cure the disease. "You should not ever exercise again.". The client should begin a cardiac rehabilitation program with a progressive exercise program. "There no need to monitor your fat intake any longer.". The client must continue to modify risk factors such as fat intake.
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