The nurse is caring for a client status/post a Myocardial Infarction who is questioning procedures utilized for treatment. Which of the following statements correctly explains a Coronary Artery Bypass Grafting (CABG)?

A. Immediately notify the provider . A rise in the water seal chamber with inspiration (tidaling) is a normal finding, indicating proper function of the chest drainage system. There is no need for immediate provider notification.
B. Clamp the chest tube near the water seal . Clamping the chest tube can lead to a tension pneumothorax by trapping air inside the pleural space. This action is only done temporarily for specific indications, such as assessing for an air leak or changing the drainage system.
C. Continue to monitor the client . Tidaling (fluctuation of water with inspiration and expiration) is expected in the water seal chamber. The nurse should continue to monitor for any sudden cessation of tidaling (which may indicate obstruction) or continuous bubbling (which may indicate an air leak).
D. Reposition the client toward the left side . Position changes do not affect normal tidaling in a functioning chest tube system. However, frequent repositioning is encouraged to promote lung expansion.

A. The client should notify the provider of a weight gain of 2-3 lbs in a day or 5 lbs in a week, as this may indicate fluid retention and worsening heart failure.
B. Naproxen (NSAIDs) should be avoided as they can lead to sodium retention, fluid overload, and worsening heart failure.
C. Exercising at least three times per week is correct. Regular physical activity can help improve cardiovascular function and overall endurance, provided it is within safe limits.
D. Diuretics should be taken in the morning, but not before bedtime. Taking them late can lead to nocturia and sleep disturbances.