The patient who has just undergone a CABG says to the nurse "I am cured of coronary artery disease" What is the nurse's best response to this statement?

"Now you can eat whatever you want

"A CABG is not a cure-It may improve your quality of life"

“I am happy for you”

"A CABG is not a cure - but now you can stop taking your medications"

Answer and Explanation

The Correct Answer is B

A. "Now you can eat whatever you want": This is incorrect and dangerous advice. Lifestyle changes, including diet, are crucial for preventing the progression of coronary artery disease even after a CABG.

B. "A CABG is not a cure - It may improve your quality of life": This response educates the patient that while CABG can relieve symptoms and improve quality of life, it does not cure the underlying disease. Continued management and lifestyle changes are essential.

C. "I am happy for you": While this might express empathy, it does not provide the necessary education or correction of the patient’s misconception about CABG.

D. "A CABG is not a cure - but now you can stop taking your medications": This is incorrect. Most patients will need to continue taking medications such as antiplatelets, statins, and antihypertensives to manage their condition post-CABG.

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Correct Answer is B

Explanation

A. Notify the health care provider: While it may eventually be necessary to notify the healthcare provider, the immediate action should involve confirming the balloon pressure, which is within the scope of respiratory therapy.

B. Call respiratory therapy to obtain the pressure within the balloon: This is the most appropriate action. Respiratory therapists are skilled in managing and measuring the cuff pressure to ensure it is within the correct range (typically 20-30 cm H2O).

C. Add air to the balloon port: Adding air without knowing the current pressure could lead to over inflation, which might cause tracheal injury.

D. Remove air from the balloon port: Similarly, removing air could lead to underinflation, increasing the risk of aspiration or inadequate ventilation.

A. Ask a family member to interpret what the client is trying to communicate. B. Ask the physician to wean the client off the mechanical ventilator to allow the client to talk. C. Ask the client to write, use a picture board, or spell words with an alphabet board. D. Assure the client that everything will be all right and that he shouldn't become upset.

Correct Answer is C

Explanation

A. Ask a family member to interpret what the client is trying to communicate: While family members can sometimes help, the nurse should directly facilitate communication with the client using appropriate tools.

B. Ask the physician to wean the client off the mechanical ventilator to allow the client to talk: Weaning off a ventilator should only be done based on medical stability, not solely for communication purposes.

C. Ask the client to write, use a picture board, or spell words with an alphabet board: These tools can help non-verbal clients on mechanical ventilation express themselves and reduce frustration.

D. Assure the client that everything will be all right and that he shouldn't become upset: This response is dismissive and does not address the client's need to communicate.

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The patient who has just undergone a CABG says to the nurse "I am cured of coronary artery disease" What is the nurse's best response to this statement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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