When evaluating the effectiveness of preoperative teaching with a ...

[Pineapplelove6]

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.

Question 2

A few days after experiencing a myocardial infarction (MI) and successful percutaneous coronary intervention, the patient states, I just had a little chest pain. As soon as I get out of here, I'm going for my vacation as planned.
 
  Which reply would be most appropriate for the nurse to make?
  a. What do you think caused your chest pain?
  b. Where are you planning to go for your vacation?
  c. Sometimes plans need to change after a heart attack.
  d. Recovery from a heart attack takes at least a few weeks.

[Mholman93]

Answer to Question 1

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.

Answer to Question 2

ANS: A
When the patient is experiencing denial, the nurse should assist the patient in testing reality until the patient has progressed beyond this step of the emotional adjustment to MI. Asking the patient about vacation plans reinforces the patient's plan, which is not appropriate in the immediate post-MI period. Reminding the patient in denial about the MI is likely to make the patient angry and lead to distrust of the nursing staff.

[Pineapplelove6]

Thanks for the timely response, appreciate it

[ktidd]

TYSM