When evaluating the effectiveness of preoperative teaching with a patient scheduled for coronary artery bypass graft (CABG) surgery using the internal mammary artery,
the nurse determines that additional teaching is needed when the patient says which of the following?
a. "They will circulate my blood with a machine during the surgery."
b. "I will have small incisions in my leg where they will remove the vein."
c. "They will use an artery near my heart to go around the area that is blocked."
d. "I will need to take an aspirin every day after the surgery to keep the graft open."
ANS: B
When the internal mammary artery is used there is no need to have a saphenous vein removed from the leg. The other statements by the patient are accurate and indicate that the teaching has been effective.
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