Cardiac-Vascular Nursing (CVRN) Practice Exam

What demonstrates effective understanding of discharge teaching in a patient who underwent coronary artery bypass surgery?

1. Asking whether smoking one cigarette per day is acceptable

2. Clarifying when cardiac rehabilitation will begin

3. Describing plans to relax in a hot tub during surgery

4. Planning to resume driving his or her spouse to work next week

The correct answer is: Clarifying when cardiac rehabilitation will begin

Selecting the option about clarifying when cardiac rehabilitation will begin demonstrates an effective understanding of discharge teaching following coronary artery bypass surgery. Cardiac rehabilitation is a critical component of recovery for patients who have undergone this procedure. It not only supports physical recovery through supervised exercise but also provides education on lifestyle changes, medication management, and risk factor modification to prevent future heart problems. Patients are taught about the importance of following up with their cardiac rehabilitation program to ensure optimal recovery and long-term health. By actively seeking information on the start of this program, the patient is showing engagement in their post-surgical care and a commitment to adhering to the prescribed plan for recovery. This inquiry reflects a proactive attitude toward health management and an understanding of the transition from hospital to home care. In contrast, other options show varying degrees of misunderstanding or misprioritization of recovery goals. For instance, inquiring about the acceptability of smoking a cigarette reflects a lack of awareness regarding the detrimental effects of tobacco on cardiac health, which is essential for recovery. Making plans to relax in a hot tub may not consider the potential risks involved in post-operative recovery, such as heat exposure or causing strain in the surgical area. Planning to resume driving soon after surgery could overlook the need for adequate healing time and