When preparing a client for discharge after surgery for a CABG, the nurse should teach the client that there will be:
A. No further drainage from the incisions after hospitalizations.
B. A mild fever and extreme fatigue for several weeks after surgery.
C. Little incisional pain and tenderness after 3 to 4 weeks after surgery.
D. Some increase in edema in the leg used for the donor graft when activity increases.
Correct Answer: D. Some increase in edema in the leg used for the donor graft when activity increases
The client is up more at home, so dependent edema usually increases. Serosanguineous drainage may persist after discharge. After surgery, it takes 4 to 6 weeks to completely heal and start feeling better. It is normal to have swelling in the leg that the vein graft was taken from.
Option A: Shower every day, washing the incision gently with soap and water. DO NOT swim, soak in a hot tub, or take baths until your incision is completely healed. Follow a heart-healthy diet.
Option B: Continue to take all medicines for the heart, diabetes, high blood pressure, or any other condition. Do not stop taking any medicine without first talking with the provider. The provider may recommend antiplatelet (blood-thinning) drugs such as aspirin, clopidogrel (Plavix), prasugrel (Effient), or ticagrelor (Brilinta) to help keep your artery graft open.
Option C: Do not drive for at least 4 to 6 weeks after the surgery. The twisting involved in turning the steering wheel may pull on the incision. Stop if feeling short of breath, dizzy, or any pain in the chest. Do not do any activity or exercise that causes pulling or pain across the chest, such as using a rowing machine or weight lifting.
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