This topic contains a solution. Click here to go to the answer

Author Question: When evaluating the effectiveness of preoperative teaching with a patient scheduled for coronary ... (Read 68 times)

Pineapplelove6

  • Hero Member
  • *****
  • Posts: 560
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.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Mholman93

  • Sr. Member
  • ****
  • Posts: 328
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

  • Member
  • Posts: 560
Reply 2 on: Jun 25, 2018
Thanks for the timely response, appreciate it


Viet Thy

  • Member
  • Posts: 329
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

 

Did you know?

More than nineteen million Americans carry the factor V gene that causes blood clots, pulmonary embolism, and heart disease.

Did you know?

Always store hazardous household chemicals in their original containers out of reach of children. These include bleach, paint, strippers and products containing turpentine, garden chemicals, oven cleaners, fondue fuels, nail polish, and nail polish remover.

Did you know?

A headache when you wake up in the morning is indicative of sinusitis. Other symptoms of sinusitis can include fever, weakness, tiredness, a cough that may be more severe at night, and a runny nose or nasal congestion.

Did you know?

Vital signs (blood pressure, temperature, pulse rate, respiration rate) should be taken before any drug administration. Patients should be informed not to use tobacco or caffeine at least 30 minutes before their appointment.

Did you know?

The human body produces and destroys 15 million blood cells every second.

For a complete list of videos, visit our video library