Final answer:
The client's statement about being able to eat or drink until midnight before coronary artery bypass graft surgery needs clarification by the nurse, as fasting is typically required. Other statements regarding pain management, jewelry removal, and transportation to the operating room are correct. The nurse should review pre-surgical fasting requirements with the client to ensure safety during anesthesia.
Step-by-step explanation:
The client's statement that indicates a need for further clarification by the nurse is: 'I can eat or drink until midnight tonight.' Generally, before a coronary artery bypass graft (CABG) surgery, it is required that the patient refrains from eating or drinking (fasts) for several hours, often beginning at midnight the night before or at least 8 hours prior to the procedure. This fasting protocol helps to reduce the risk of aspiration during anesthesia. The patient's statement suggests confusion about the preoperative fasting instructions and requires additional information to ensure their safety.
Other statements the client made, such as needing pain medication after the procedure, removing jewelry, and being taken to the operating room in a wheelchair, are accurate and appropriate for pre-surgical preparation. Pain management, removal of metal objects, and safe transportation to the operating room are standard procedures outlined in the surgical checklist, which includes confirmation of prophylactic antibiotics administration, ensuring essential imaging results are displayed, and the team timeout to confirm all surgical preparations are complete. Additionally, lifestyle changes and medical interventions, as described, are essential long-term considerations post-CABG to manage the patient's cardiovascular health.