A nurse is providing pre-op teaching to a client who will be undergoing a coronary artery bypass graft. Which of the following should the nurse include in the teaching?
“You will be on strict bed rest for the first 48 hours.”
“You will be using a bedpan after surgery to urinate.”
“You will need to splint the chest incision when you cough or breathe deeply.”
“You will be on the ventilator after surgery and have one or more chest tubes.”
Numbers 1, 4, and 5 are correct.
Rationale: The client will be on different medications following surgery. The nurse should demonstrate to the client how to splint the incision when coughing or breathing deeply to minimize pain and lessen pressure on the incision site. After surgery, the client will be on the ventilator and have one or more chest tubes. The client will be encouraged to ambulate as early as possible to prevent complications from pneumonia. The client will have a urinary catheter following surgery and will not need to void in a bedpan.
