NCLEX Acute Coronary Syndrome Practice Exam

Monitoring renal function is a common post-CABG nursing assessment that is critical and should not be overlooked. After coronary artery bypass grafting (CABG), patients can experience various complications, including changes in renal perfusion due to factors such as hypotension from blood loss or the effects of anesthesia. Additionally, certain medications administered during and after surgery can impact kidney function.

Renal function is often assessed by monitoring serum creatinine and blood urea nitrogen (BUN) levels, as well as the patient's urine output. Adequate kidney function is crucial for fluid and electrolyte balance, which is particularly important in the postoperative setting. Prompt recognition of renal issues can help in timely interventions to prevent further complications.

While monitoring dietary habits, checking for allergies, and assessing skin turgor are also important nursing assessments, they do not have the same direct and immediate correlation to the potential complications typically seen after CABG as renal function monitoring does. Prioritizing renal assessment can lead to early detection of issues and help in managing the patient’s overall recovery more effectively.