NUR 305 Exam 3
Study online at https://quizlet.com/_ccaec5
1. How could you simply describe the
CABG surgery to a patient?
2. What are the vessels usually used as a - Internal mammary artery
source in CABG? - Greater saphenous vein
- Lesser saphenous vein
3. Which is the most preferred vessel - Internal mammary artery
and why?
4. What are the major indications for - Angina with >50% occlusion of LCA
CABG? - Unstable angina
- Ischemia with HF
- Acute MI with cardiogenic shock
- Unsuccessful percutaneous coronary intervention
(PCI)
- Coronary vessels unsuitable for PCI
5. What is the name of the machine used Cardiopulmonary bypass machine; heart-lung ma-
to ensure a motionless bloodless sur- chine
gical field during CABG?
6. What does the machine do to the pa- Mechanically circulates and oxygenates blood
tient blood during the surgery?
7. How is blood clotting prevented dur- Continuous infusion of heparin (heparinization)
ing the use of CPB machine for CABG?
8. Which medication is an antidote for Protamine sulfate
heparin?
9.
, NUR 305 Exam 3
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What is the cardioplegic solution used Potassium-rich solution to prevent the heart from
during traditional CABG and why it is pumping
used? Inserted below clamped ascending aorta
10. Traditional CABG - Uses anesthesia
- Median sternotomy
- Uses CPB machine
11. Alternative CABG - Off pump
- Minimally invasive
12. Off pump CABG - Anesthesia
- Median sternotomy
- No CPB machine
- Uses beta blockers and stabilization device
13. Minimally invasive CABG - Endoscopic technique
- No median sternotomy
- CPB via femoral vessels
14. Which one involves median sternoto- Traditional CABG via right atrium and ascending
my and the use of a CPB machine? aorta
Minimally invasive CABG via femoral vessels
15. CABG surgery may be planned as an
elective procedure or performed as
an emergency
16. What are essential interventions to - Treat underlying infection (UTI, dental abscess)
decrease the risk of surgical site infec- - IV abx 1hr before surg
tion? - CHG shower
- Remove hair from area (in OR)
- CHG with IPA
, NUR 305 Exam 3
Study online at https://quizlet.com/_ccaec5
- No antimicrobial agents applied
- Glucose <200
- Normothermia
- Aseptic technique
17. What are collaborative interventions - Preoperative beta-blockers
for decreasing the risk of periopera-
tive MI in patients undergoing cardiac
surgeries?
18. A patient scheduled for CABG com- MONA- Morphine, Oxygen, Nitroglycerine, Aspirin
plained of chest pain. An MI was sus-
pected, which medications the nurse
anticipate being prescribed for the
patient?
19. When caring for a post-CABG patient, Incisional pain increases with coughing and deep
how the nurse differentiates between breathing.
sternotomy incisional pain and angi-
nal pain?
20. The nurse administered nitroglycerin - Headache
as ordered to relieve anginal pain in a - Continuous chest pain
preoperative CABG patient. The nurse
should monitor the patient for which
side effects of nitroglycerin?
21. What should the nurse say or do when - Manage patient anxiety
a patient scheduled for CABG express- - Educate
es fear of death?
22. - Visit CICU
- Describe schedule of post-operative care
, NUR 305 Exam 3
Study online at https://quizlet.com/_ccaec5
What essential preoperative patient - Splinting, coughing, deep breathing, incentive
and family education specific to pa- spirometry, arm and leg exercises
tients undergoing CABG surgery? - Manage pain
- Reduce fear and anxiety
23. What essential postoperative patient - Expectations for surgery
and family education specific to pa- - Visit CVICU
tients undergoing CABG surgery? - Intubation
- Splint, cough, deep breath
- Arm and leg exercises
- Report any pain
- Discuss fear of dying
24. In which unit do the cardiac surgery Cardiac ICU
patients receive care in the immediate
postoperative period?
25. The pulse intensity is graded on a 0: No palpable pulse
scale of 0 to 4 +. Describe this grading 1+: Faint, detectable pulse
scale 2+: More diminished pulse than normal
3+: Normal
4+: Bounding
26. Describe how to assess peripheral - Peripheral pulses
vascular status - Skin color
- Nail beds
- Mucosa
- Lips
- Ear lobes
- Skin temperature
- Edema
- Condition of dressings and lines
Study online at https://quizlet.com/_ccaec5
1. How could you simply describe the
CABG surgery to a patient?
2. What are the vessels usually used as a - Internal mammary artery
source in CABG? - Greater saphenous vein
- Lesser saphenous vein
3. Which is the most preferred vessel - Internal mammary artery
and why?
4. What are the major indications for - Angina with >50% occlusion of LCA
CABG? - Unstable angina
- Ischemia with HF
- Acute MI with cardiogenic shock
- Unsuccessful percutaneous coronary intervention
(PCI)
- Coronary vessels unsuitable for PCI
5. What is the name of the machine used Cardiopulmonary bypass machine; heart-lung ma-
to ensure a motionless bloodless sur- chine
gical field during CABG?
6. What does the machine do to the pa- Mechanically circulates and oxygenates blood
tient blood during the surgery?
7. How is blood clotting prevented dur- Continuous infusion of heparin (heparinization)
ing the use of CPB machine for CABG?
8. Which medication is an antidote for Protamine sulfate
heparin?
9.
, NUR 305 Exam 3
Study online at https://quizlet.com/_ccaec5
What is the cardioplegic solution used Potassium-rich solution to prevent the heart from
during traditional CABG and why it is pumping
used? Inserted below clamped ascending aorta
10. Traditional CABG - Uses anesthesia
- Median sternotomy
- Uses CPB machine
11. Alternative CABG - Off pump
- Minimally invasive
12. Off pump CABG - Anesthesia
- Median sternotomy
- No CPB machine
- Uses beta blockers and stabilization device
13. Minimally invasive CABG - Endoscopic technique
- No median sternotomy
- CPB via femoral vessels
14. Which one involves median sternoto- Traditional CABG via right atrium and ascending
my and the use of a CPB machine? aorta
Minimally invasive CABG via femoral vessels
15. CABG surgery may be planned as an
elective procedure or performed as
an emergency
16. What are essential interventions to - Treat underlying infection (UTI, dental abscess)
decrease the risk of surgical site infec- - IV abx 1hr before surg
tion? - CHG shower
- Remove hair from area (in OR)
- CHG with IPA
, NUR 305 Exam 3
Study online at https://quizlet.com/_ccaec5
- No antimicrobial agents applied
- Glucose <200
- Normothermia
- Aseptic technique
17. What are collaborative interventions - Preoperative beta-blockers
for decreasing the risk of periopera-
tive MI in patients undergoing cardiac
surgeries?
18. A patient scheduled for CABG com- MONA- Morphine, Oxygen, Nitroglycerine, Aspirin
plained of chest pain. An MI was sus-
pected, which medications the nurse
anticipate being prescribed for the
patient?
19. When caring for a post-CABG patient, Incisional pain increases with coughing and deep
how the nurse differentiates between breathing.
sternotomy incisional pain and angi-
nal pain?
20. The nurse administered nitroglycerin - Headache
as ordered to relieve anginal pain in a - Continuous chest pain
preoperative CABG patient. The nurse
should monitor the patient for which
side effects of nitroglycerin?
21. What should the nurse say or do when - Manage patient anxiety
a patient scheduled for CABG express- - Educate
es fear of death?
22. - Visit CICU
- Describe schedule of post-operative care
, NUR 305 Exam 3
Study online at https://quizlet.com/_ccaec5
What essential preoperative patient - Splinting, coughing, deep breathing, incentive
and family education specific to pa- spirometry, arm and leg exercises
tients undergoing CABG surgery? - Manage pain
- Reduce fear and anxiety
23. What essential postoperative patient - Expectations for surgery
and family education specific to pa- - Visit CVICU
tients undergoing CABG surgery? - Intubation
- Splint, cough, deep breath
- Arm and leg exercises
- Report any pain
- Discuss fear of dying
24. In which unit do the cardiac surgery Cardiac ICU
patients receive care in the immediate
postoperative period?
25. The pulse intensity is graded on a 0: No palpable pulse
scale of 0 to 4 +. Describe this grading 1+: Faint, detectable pulse
scale 2+: More diminished pulse than normal
3+: Normal
4+: Bounding
26. Describe how to assess peripheral - Peripheral pulses
vascular status - Skin color
- Nail beds
- Mucosa
- Lips
- Ear lobes
- Skin temperature
- Edema
- Condition of dressings and lines
