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 can lift objects that weigh more than 20 pounds 2 weeks after discharge."

"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."

"Limit your sodium intake to 4 grams per day for 4 weeks following discharge."

Answer and Explanation

The Correct Answer is C

Rationale:

A. "You can lift objects that weigh more than 20 pounds 2 weeks after discharge." Lifting heavy objects is generally discouraged after coronary artery bypass graft (CABG) surgery for at least 4-6 weeks. Lifting more than 20 pounds too soon can strain the chest and interfere with healing.

B. "You should walk 400 feet twice per day for the first week following discharge." While walking is encouraged to improve circulation and promote recovery, 400 feet twice a day may be too much for the first week following discharge. The client should start with shorter distances and gradually increase activity based on the client's tolerance.

C. "You should wait at least 4 weeks before returning to work." After CABG surgery, clients are typically advised to avoid returning to work, especially if it involves physical labor, for at least 4-6 weeks to allow adequate time for recovery.

D. "Limit your sodium intake to 4 grams per day for 4 weeks following discharge." Clients with heart disease are generally advised to follow a low-sodium diet, usually limiting intake to 2-3 grams per day to prevent fluid retention and reduce strain on the heart.

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Correct Answer is C

Explanation

Rationale:

A. Increased heart rate: Increased heart rate can be a general sign of infection or discomfort, but it is not the earliest indication of peritonitis in peritoneal dialysis. Other symptoms like cloudy effluent typically present earlier.

B. Generalized abdominal pain: While abdominal pain can be a sign of peritonitis, it typically appears after other signs like cloudy effluent, so it is not usually the earliest indicator.

C. Cloudy effluent: Cloudy effluent is the earliest and most indicative sign of peritonitis in peritoneal dialysis. This is due to the presence of white blood cells and bacteria in the peritoneal fluid, which is a hallmark of infection.

D. Fever: Fever is a later symptom of peritonitis. It typically occurs after the infection has progressed and is not the earliest sign to monitor for in the context of peritoneal dialysis.

A. Bilateral lung crackles B. 1+ pitting peripheral edema C. Engorged neck veins D. Urine output 25 mL/hr

Correct Answer is D

Explanation

Rationale:

A. Bilateral lung crackles: Bilateral lung crackles are typically a sign of fluid overload or pulmonary edema, not fluid loss. They do not indicate the need for fluid resuscitation in the case of burns.

B. 1+ pitting peripheral edema:1+ pitting edema is mild and does not typically indicate the need for fluid resuscitation. It may occur with minor fluid retention, but it is not a severe indication of dehydration or fluid loss that would require resuscitation.

C. Engorged neck veins: Engorged neck veins suggest fluid overload or venous congestion, often seen in conditions like heart failure, but not in the immediate need for fluid resuscitation for burn patients.

D. Urine output 25 mL/hr: A urine output of 25 mL/hr is below the normal range (30 mL/hr or more) and suggests inadequate renal perfusion. This is a clear indicator that the client may require fluid resuscitation to restore adequate circulation and kidney function.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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