NUR 305 Exam 3 Questions With Correct
Answers
What |are |the |vessels |usually |used |as |a |source |in |CABG?
- |Internal |mammary |artery
- |Greater |saphenous |vein
- |Lesser |saphenous |vein
Which |is |the |most |preferred |vessel |and |why?
- |Internal |mammary |artery
What |are |the |major |indications |for |CABG?
- |Angina |with |>50% |occlusion |of |LCA
- |Unstable |angina
- |Ischemia |with |HF
- |Acute |MI |with |cardiogenic |shock
- |Unsuccessful |percutaneous |coronary |intervention |(PCI)
- |Coronary |vessels |unsuitable |for |PCI
What |is |the |name |of |the |machine |used |to |ensure |a |motionless |bloodless |surgical |field |during |
CABG?
Cardiopulmonary |bypass |machine; |heart-lung |machine
,What |does |the |machine |do |to |the |patient |blood |during |the |surgery?
Mechanically |circulates |and |oxygenates |blood
How |is |blood |clotting |prevented |during |the |use |of |CPB |machine |for |CABG?
Continuous |infusion |of |heparin |(heparinization)
Which |medication |is |an |antidote |for |heparin?
Protamine |sulfate
What |is |the |cardioplegic |solution |used |during |traditional |CABG |and |why |it |is |used?
Potassium-rich |solution |to |prevent |the |heart |from |pumping
Inserted |below |clamped |ascending |aorta
Traditional |CABG
- |Uses |anesthesia
- |Median |sternotomy
- |Uses |CPB |machine
Alternative |CABG
,- |Off |pump
- |Minimally |invasive
Off |pump |CABG
- |Anesthesia
- |Median |sternotomy
- |No |CPB |machine
- |Uses |beta |blockers |and |stabilization |device
Minimally |invasive |CABG
- |Endoscopic |technique
- |No |median |sternotomy
- |CPB |via |femoral |vessels
Which |one |involves |median |sternotomy |and |the |use |of |a |CPB |machine?
Traditional |CABG |via |right |atrium |and |ascending |aorta
Minimally |invasive |CABG |via |femoral |vessels
CABG |surgery |may |be |planned |as |an |elective |procedure |or |performed |as |an |emergency
What |are |essential |interventions |to |decrease |the |risk |of |surgical |site |infection?
, - |Treat |underlying |infection |(UTI, |dental |abscess)
- |IV |abx |1hr |before |surg
- |CHG |shower
- |Remove |hair |from |area |(in |OR)
- |CHG |with |IPA
- |No |antimicrobial |agents |applied
- |Glucose |<200
- |Normothermia
- |Aseptic |technique
What |are |collaborative |interventions |for |decreasing |the |risk |of |perioperative |MI |in |patients |
undergoing |cardiac |surgeries?
- |Preoperative |beta-blockers
A |patient |scheduled |for |CABG |complained |of |chest |pain. |An |MI |was |suspected, |which |
medications |the |nurse |anticipate |being |prescribed |for |the |patient?
MONA- |Morphine, |Oxygen, |Nitroglycerine, |Aspirin
When |caring |for |a |post-CABG |patient, |how |the |nurse |differentiates |between |sternotomy |
incisional |pain |and |anginal |pain?
Incisional |pain |increases |with |coughing |and |deep |breathing.
Answers
What |are |the |vessels |usually |used |as |a |source |in |CABG?
- |Internal |mammary |artery
- |Greater |saphenous |vein
- |Lesser |saphenous |vein
Which |is |the |most |preferred |vessel |and |why?
- |Internal |mammary |artery
What |are |the |major |indications |for |CABG?
- |Angina |with |>50% |occlusion |of |LCA
- |Unstable |angina
- |Ischemia |with |HF
- |Acute |MI |with |cardiogenic |shock
- |Unsuccessful |percutaneous |coronary |intervention |(PCI)
- |Coronary |vessels |unsuitable |for |PCI
What |is |the |name |of |the |machine |used |to |ensure |a |motionless |bloodless |surgical |field |during |
CABG?
Cardiopulmonary |bypass |machine; |heart-lung |machine
,What |does |the |machine |do |to |the |patient |blood |during |the |surgery?
Mechanically |circulates |and |oxygenates |blood
How |is |blood |clotting |prevented |during |the |use |of |CPB |machine |for |CABG?
Continuous |infusion |of |heparin |(heparinization)
Which |medication |is |an |antidote |for |heparin?
Protamine |sulfate
What |is |the |cardioplegic |solution |used |during |traditional |CABG |and |why |it |is |used?
Potassium-rich |solution |to |prevent |the |heart |from |pumping
Inserted |below |clamped |ascending |aorta
Traditional |CABG
- |Uses |anesthesia
- |Median |sternotomy
- |Uses |CPB |machine
Alternative |CABG
,- |Off |pump
- |Minimally |invasive
Off |pump |CABG
- |Anesthesia
- |Median |sternotomy
- |No |CPB |machine
- |Uses |beta |blockers |and |stabilization |device
Minimally |invasive |CABG
- |Endoscopic |technique
- |No |median |sternotomy
- |CPB |via |femoral |vessels
Which |one |involves |median |sternotomy |and |the |use |of |a |CPB |machine?
Traditional |CABG |via |right |atrium |and |ascending |aorta
Minimally |invasive |CABG |via |femoral |vessels
CABG |surgery |may |be |planned |as |an |elective |procedure |or |performed |as |an |emergency
What |are |essential |interventions |to |decrease |the |risk |of |surgical |site |infection?
, - |Treat |underlying |infection |(UTI, |dental |abscess)
- |IV |abx |1hr |before |surg
- |CHG |shower
- |Remove |hair |from |area |(in |OR)
- |CHG |with |IPA
- |No |antimicrobial |agents |applied
- |Glucose |<200
- |Normothermia
- |Aseptic |technique
What |are |collaborative |interventions |for |decreasing |the |risk |of |perioperative |MI |in |patients |
undergoing |cardiac |surgeries?
- |Preoperative |beta-blockers
A |patient |scheduled |for |CABG |complained |of |chest |pain. |An |MI |was |suspected, |which |
medications |the |nurse |anticipate |being |prescribed |for |the |patient?
MONA- |Morphine, |Oxygen, |Nitroglycerine, |Aspirin
When |caring |for |a |post-CABG |patient, |how |the |nurse |differentiates |between |sternotomy |
incisional |pain |and |anginal |pain?
Incisional |pain |increases |with |coughing |and |deep |breathing.
