Question

The nurse is preparing a client for coronary artery bypass graft cardiac surgery. Which interventions should the nurse provide during the preoperative phase? Select all that apply.

Select one or more:

a. Instruct the client how to use the incentive spirometer.

b. Measure the legs for graduated compression stockings.

c. Prep the skin of the chest and legs with surgical prep.

d. Explain what to expect after the surgery.

e. Assess the midsternal and leg dressings.

Answer 1

The incentive spirometry is indicated post operatively to enhance pulmonary function so it has to be taught before surgery

The risk of developing DVT or blood clots are possible after surgery due to immobilisation .So in order to improve circulation and prevent DVT this is mandatory

The health education can be given regarding what can be expected after surgery to prepare patient psychologically

Generally skin preparation is done from chest to leg to as disinfection techniques and make the area stroke for surgery and prevent infection.

The midsternal and leg dressing has to be assessed after surgery

Ans:a. Instruct the client how to use incentive spirometry

b. Measure the legs for graduated compression stockings

c. Prep the skin of the chest and legs with surgical prep

d. Explain what to expect after surgery