AACN ECCO Cardiovascular Part 4
questions with correct answers
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 transfemoral 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 transaxillary 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 pseudoaneurysm
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,
questions with correct answers
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 transfemoral 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 transaxillary 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 pseudoaneurysm
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,
