AACN ECCO Cardiovascular Part 4
questions and answers |already
graded A+
What incision care interventions should a nurse use while monitoring a post-cardiac surgery
patient's incisions and access sites? - ANSWER - Elevate donor leg after vein harvesting,
Maintain OR dressings for 24-48 hours, Irrigate
Anesthesia handoff for patient admitted to ICU shows BP 86/52 (63), HR 112, and RAP 4 mm
HG. In ICU, CT output is 49 mL over the first hour. For which condition should you intervene,
and based on what information? - ANSWER - Intravascular hypovolemia: BP, HR
In caring for a patient who underwent CABG with a saphenous vein graft, the nurse should
anticipate which postop intervention(s)? - ANSWER - Administer ASA within first six hours and
elevate donor leg
Patient underwent CABG with cardiopulmonary bypass. Which rhythm disturbance is most
likely to occur? - ANSWER - A-fib
Patient is 24 hours post-CABG with a left radial artery graft. Which is an unexpected finding? -
ANSWER - NOT: Chest tub drainage 1,000 mL in 24 hours
Patient is undergoing CABG using the radial artery. Nurse should anticipate which? - ANSWER -
Performing Allen's test
Nurse finds dyspnea, bilaterally diminished breath sounds, and respiratory distress in a patient
in the acute recovery phase post-cardiac surgery. What interventions should the nurse
anticipate? - ANSWER - Progressive mobility,
Incentive spirometry exercises,
, Deep breathing
Which findings in a patient in the acute recovery phase post-cardiac surgery indicate possible
cardiac tamponade? - ANSWER - Decreased ECG voltage; narrow pulse pressure,
Significant, abrupt ↓ in mediastinal CT output; tachycardia
Muffled heart sounds; ↓ UO and CO
Which additional conditions make it likely that a patient with severe aortic stenosis will be
advised to undergo TAVR instead of surgical aortic valve replacement? - ANSWER - COPD and
poorly controlled diabetes,
CKD and history of stroke,
Two previous sternotomies for CABG
Patient is admitted post-TAVR with a trans femoral approach. Which findings related to the
procedure leg should cause concern? - ANSWER - TRY: Pallor, Pain
What are the nurse's care priorities for a patient who underwent TAVR via trans axillary
approach? - ANSWER - Assess sensory and motor function on affected side,
Anticipate return to OR for ongoing bleeding or vascular insufficiency,
Anticipate return to OR for pseudo aneurysm
A nurse caring for a patient post-op cardiac valve replacement with a heterograft valve should
anticipate administration of which med(s)? - ANSWER - Daily ASA
In caring for a patient undergoing cardiopulmonary bypass surgery, which of the following
interventions, in addition to hypothermia, protect the heart and other vital organs? - ANSWER -
Heparinization,
↓ blood viscosity,
Cardioplegia
questions and answers |already
graded A+
What incision care interventions should a nurse use while monitoring a post-cardiac surgery
patient's incisions and access sites? - ANSWER - Elevate donor leg after vein harvesting,
Maintain OR dressings for 24-48 hours, Irrigate
Anesthesia handoff for patient admitted to ICU shows BP 86/52 (63), HR 112, and RAP 4 mm
HG. In ICU, CT output is 49 mL over the first hour. For which condition should you intervene,
and based on what information? - ANSWER - Intravascular hypovolemia: BP, HR
In caring for a patient who underwent CABG with a saphenous vein graft, the nurse should
anticipate which postop intervention(s)? - ANSWER - Administer ASA within first six hours and
elevate donor leg
Patient underwent CABG with cardiopulmonary bypass. Which rhythm disturbance is most
likely to occur? - ANSWER - A-fib
Patient is 24 hours post-CABG with a left radial artery graft. Which is an unexpected finding? -
ANSWER - NOT: Chest tub drainage 1,000 mL in 24 hours
Patient is undergoing CABG using the radial artery. Nurse should anticipate which? - ANSWER -
Performing Allen's test
Nurse finds dyspnea, bilaterally diminished breath sounds, and respiratory distress in a patient
in the acute recovery phase post-cardiac surgery. What interventions should the nurse
anticipate? - ANSWER - Progressive mobility,
Incentive spirometry exercises,
, Deep breathing
Which findings in a patient in the acute recovery phase post-cardiac surgery indicate possible
cardiac tamponade? - ANSWER - Decreased ECG voltage; narrow pulse pressure,
Significant, abrupt ↓ in mediastinal CT output; tachycardia
Muffled heart sounds; ↓ UO and CO
Which additional conditions make it likely that a patient with severe aortic stenosis will be
advised to undergo TAVR instead of surgical aortic valve replacement? - ANSWER - COPD and
poorly controlled diabetes,
CKD and history of stroke,
Two previous sternotomies for CABG
Patient is admitted post-TAVR with a trans femoral approach. Which findings related to the
procedure leg should cause concern? - ANSWER - TRY: Pallor, Pain
What are the nurse's care priorities for a patient who underwent TAVR via trans axillary
approach? - ANSWER - Assess sensory and motor function on affected side,
Anticipate return to OR for ongoing bleeding or vascular insufficiency,
Anticipate return to OR for pseudo aneurysm
A nurse caring for a patient post-op cardiac valve replacement with a heterograft valve should
anticipate administration of which med(s)? - ANSWER - Daily ASA
In caring for a patient undergoing cardiopulmonary bypass surgery, which of the following
interventions, in addition to hypothermia, protect the heart and other vital organs? - ANSWER -
Heparinization,
↓ blood viscosity,
Cardioplegia
