While preparing to provide preoperative teaching to an elderly client scheduled for coronary bypass graft surgery (CABG), the nurse realizes that which of the following should be included in this instruction?
1. Risk for postoperative infection
2. Need to stay on bed rest for a week or more
3. Expect to be ambulating the evening of surgery
4. Cardiac pain postoperatively is to be expected
1. Risk for postoperative infection
Rationale:
The risk for a postoperative infection after coronary bypass graft surgery is higher in elderly clients. The nurse should include this information in the preoperative instructions to the client. The client may or may not be on bed rest for a week or more after the surgery. The client, however, will most likely not be ambulating the evening of the surgery. Cardiac pain postoperatively is not to be expected and could indicate a myocardial infarction.
You might also like to view...
Information about the precision of results typically is communication in the form of which of the following?
A) Significance levels B) Effect size estimates C) Correlation coefficients D) Confidence intervals
You determine that a patient's diaphragmatic excursion is 5 cm with the diaphragm at T12 on inspiration and T10 on expiration. This finding
a. is abnormally low, indicating hypoventilation. b. is normal. c. indicates a high diaphragm level with displacement possibly by ascites. d. indicates the presence of atelectasis or pleural effusion in the lower lobes, producing a dull sound on percussion and leading to a false determination of high diaphragm level.
You awaken a client during the night to measure blood pressure and heart rate. You observe that these vital signs are elevated. On the basis of your knowledge of normal sleep cycles, you can expect that the client was experiencing which of the following?
1. delta or slow-wave sleep 2. stage 1 non–rapid eye movement (NREM) sleep 3. rapid eye movement (REM) sleep 4. stage 2 NREM sleep
The nurse is preparing an 11-year-old patient to have a synthetic cast placed on the arm after a fracture. What question should the nurse include to promote the child's acceptance of the cast?
a. "Are you right or left handed?" b. "Would you like a green or a blue cast?" c. "How do you usually do in school?" d. "Do you like to play sports after school?"