When providing preoperative teaching for the client who is scheduled for coronary artery bypass surgery in the morning, the nurse should include which dimensions?
1. Information
2. Psychosocial support
3. The role of the client and support people
4. Skills training
5. Coughing and deep breathing
1, 2, 3, 4
Rationale 1: The nurse will provide information, including what will happen to the client, when and what the client will experience, and expected sensations and discomfort.
Rationale 2: Psychosocial support is provided to reduce anxiety.
Rationale 3: The roles of the client and support people in preoperative preparation, the surgical procedure, and during the postoperative phase will be explained by the nurse.
Rationale 4: Skills training will include moving, deep breathing, coughing, splinting incisions, and use of an incentive spirometer.
Rationale 5: Coughing and deep breathing are a component of skills training, but are not a dimension of teaching.
Global Rationale: The nurse will provide information, including what will happen to the client, when and what the client will experience, and expected sensations and discomfort. Psychosocial support is provided to reduce anxiety. The roles of the client and support people in preoperative preparation, the surgical procedure, and during the postoperative phase will be explained by the nurse. Skills training will include moving, deep breathing, coughing, splinting incisions, and use of an incentive spirometer. Coughing and deep breathing are a component of skills training, but are not a dimension of teaching.
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