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    Ati Rn Adult Medical Surgical 2023 Proctored Exam

    A nurse is providing discharge teaching for a client following coronary artery bypass graft surgery. Which of the following information nurse include in the teaching?

    Explanation & Rationale

    Rationale: A. "You should wait at least 4 weeks before returning to work.": After coronary artery bypass graft surgery, clients require time for sternal and overall cardiovascular healing. Most guidelines recommend waiting approximately 4 to 6 weeks before resuming work, especially if it involves physical exertion, to prevent complications such as wound dehiscence, angina, or cardiac stress. B. "Limit your sodium intake to 4 grams per day for 4 weeks following discharge.": Sodium restriction is recommended for clients with hypertension or heart failure to manage fluid balance, but a limit of 4 grams per day is higher than typical recommendations. Standard post-cardiac surgery guidance usually suggests limiting sodium to 2–3 grams daily. C. "You can lift objects that weigh more than 20 pounds 2 weeks after discharge.": Lifting heavy objects early after CABG can strain the healing sternum, increasing the risk of dehiscence, bleeding, or musculoskeletal injury. Most protocols advise avoiding lifting objects heavier than 10–15 pounds for the first 4–6 weeks. D. "You should walk 400 twice per day for the first week following discharge.": While early ambulation is encouraged to prevent complications like deep vein thrombosis and promote cardiovascular recovery, the specific prescription of walking 400 (assumed meters or steps) twice daily may not be safe for all clients immediately after discharge.

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