A nurse is providing discharge teaching for a client following coronary artery bypass graft surgery. Which of the following information should the nurse include in the teaching?
"You should walk 400 feet twice per day for the first week following discharge,"
"You should wait at least 4 weeks before returning to work”
"You can lift objects that weigh more than 20 pounds 2 weeks after discharge”
"Limit your sodium intake to 4 grams per day for 4 weeks following discharge”
The Correct Answer is A
A. "You should walk 400 feet twice per day for the first week following discharge": Gradual ambulation is recommended after coronary artery bypass graft surgery to promote circulation, prevent complications such as deep vein thrombosis, and support cardiac rehabilitation. Walking short distances initially allows the client to build tolerance safely.
B. "You should wait at least 4 weeks before returning to work": Return-to-work timing varies depending on the client’s recovery, type of work, and functional capacity. Specific time frames are individualized, and telling all clients to wait 4 weeks may not apply universally.
C. "You can lift objects that weigh more than 20 pounds 2 weeks after discharge": Clients are typically advised to avoid lifting heavy objects (usually more than 10–15 pounds) for 4–6 weeks to prevent strain on the sternum and allow proper healing. Lifting heavy objects too soon increases the risk of complications.
D. "Limit your sodium intake to 4 grams per day for 4 weeks following discharge": Sodium restriction is recommended for heart health, but the typical guidance is more stringent (usually 2–3 grams per day) and ongoing rather than limited to 4 weeks. Education should focus on long-term dietary modifications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. “I seem to be bruising more easily,”: Easy bruising is not a typical adverse effect of lisinopril. Bruising may indicate a hematologic issue or another medication effect, but it is unrelated to ACE inhibitor therapy.
B. "I have to urinate frequently.": Increased urination is not commonly associated with lisinopril. Diuretics, rather than ACE inhibitors, are more likely to cause polyuria. This statement does not indicate an adverse effect of lisinopril.
C. "I have a nagging, dry cough.": A persistent, dry cough is a well-known adverse effect of ACE inhibitors like lisinopril. It occurs due to the accumulation of bradykinin in the respiratory tract, and it can be bothersome enough to require medication adjustment or substitution.
D. "I have a heightened sense of taste.": Altered taste perception is not a common adverse effect of lisinopril. While some medications can affect taste, this is not characteristic of ACE inhibitors and is unlikely to be related to the client’s current therapy.
Correct Answer is A
Explanation
A. Sterile water: Sterile water is needed to flush the suction catheter and maintain a clear airway during tracheostomy suctioning. It helps prevent contamination and ensures effective removal of secretions while minimizing infection risk.
B. Yankauer catheter: A Yankauer catheter is used for oropharyngeal suctioning, not for suctioning a tracheostomy. Using this catheter on a tracheostomy would be ineffective and could cause trauma to the tracheal tissue.
C. Nasal cannula: A nasal cannula provides supplemental oxygen but is not required specifically for the suctioning procedure. Oxygen delivery may be necessary if the client desaturates, but it is not part of the core suctioning equipment.
D. Pulse oximeter: The pulse oximeter is a monitoring device used to track the client's oxygen saturation and heart rate during the procedure to assess for complications (like hypoxia or bradycardia). It is not the active equipment gathered to perform the suctioning.
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