Difficulty: Medium
Average Score: 65%
Simulated
A nurse is caring for a client who is postoperative following a coronary artery bypass graft (CABG). Which of the following findings should the nurse report to the provider?
Correct answer
C
Rationale
The correct answer is C: ST-segment elevation on ECG. This finding could indicate myocardial ischemia or infarction, which is a serious complication post-CABG requiring immediate medical attention. A: Incisional pain rated 4/10 is expected postoperatively and not urgent. B: Temperature of 37.8┬░C is mild fever, could indicate infection but not as urgent as ST-segment elevation. D: Drainage of 50 mL/hr from chest tubes is within normal limits.