While preparing to provide preoperative teaching to an elderly ...

[Cooldude101]

While preparing to provide preoperative teaching to an elderly client scheduled for coronary bypass graft surgery (CABG), the nurse realizes that which of the following should be included in this instruction?
 
  1. Risk for postoperative infection
   2. Need to stay on bed rest for a week or more
   3. Expect to be ambulating the evening of surgery
   4. Cardiac pain postoperatively is to be expected

Question 2

The nurse determines that a client with asthma is ready for teaching about managing care at home. When planning topics to teach, the nurse keeps in mind that adults:
 
  1. Usually can find information on their own.
   2. Do not need to be evaluated for understanding as children do.
   3. Are more oriented to learning when the material is useful immediately.
   4. Are more likely to adhere to a regimen than are children.

[Silverbeard98]

Answer to Question 1

1. Risk for postoperative infection

Rationale:
The risk for a postoperative infection after coronary bypass graft surgery is higher in elderly clients. The nurse should include this information in the preoperative instructions to the client. 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.

Answer to Question 2

3. Are more oriented to learning when the material is useful immediately.

Rationale:
When teaching a client, the nurse considers that most people learn and retain information if the information is immediately useful. Some clients can find information on their own; however, not all information that the client can find is factual. All clients need to be evaluated to ensure that the right information was retained. Adults will not necessarily adhere to a regimen more than children will. It is the effective teaching and the client's readiness to learn that helps with adherence.

[Cooldude101]

Thanks

[Silverbeard98]

Welcome