A client has been discharged from the hospital following coronary artery bypass grafting (CABG). The client asks the nurse about the chest pain he experienced prior to coming to the hospital during the heart attack
What instructions should the nurse include in the instructions? A) "If chest pain occurs, rest. If it doesn't go away, take nitroglycerin and report the even to the physician even if the pain is relieved."
B) "If chest pain occurs, take a nitroglycerin. If unrelieved, take another one 5 minutes later. If relieved, no further action is required."
C) "If chest pain occurs, it may be related to gastritis. Take an antacid and lie down for 30 minutes."
D) "You should not have chest pain because you had the CABG, and it fixed the problem with your heart."
A
Feedback:
If chest pain occurs after the client has had a CABG, the client should take a nitroglycerin, and even if relieved, the client need to report the incidence to the physician. Reocclusion of a vessel may occur, or a new myocardial infarction may occur from another vessel occlusion. If the pain is relieved, the client may have had a coronary vasospasm. The client should notify the physician for any chest pain even if it is relieved. The client should not attribute the pain to a gastrointestinal symptom and notify the physician. Chest pain may still occur as well as a myocardial infarction even after a CABG.
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