The nurse is preparing preoperative teaching for an older adult client scheduled for a ventricular assist device (VAD). Which should the nurse include in these instructions?
A) Need to stay on bed rest for a week or more
B) Cardiac pain postoperatively is to be expected.
C) Risk for postoperative infection
D) Expect to be ambulating the evening of surgery.
Answer: C
Clients with VAD are at considerable risk for infection; strict aseptic technique is used with all invasive catheters and dressing changes. 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.
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