AACN ECCO Cardiovascular Part 4
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What incision care interventions should a nurse use while monitoring a
post-cardiac surgery patient's incisions and access sites? - ✔✔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? -
✔✔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)? - ✔✔Administer
ASA within first six hours and elevate donor leg
Patient underwent CABG with cardiopulmonary bypass. Which rhythm
disturbance is most likely to occur? - ✔✔A-fib
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Patient is 24 hours post-CABG with a left radial artery graft. Which is an
unexpected finding? - ✔✔NOT: Chest tub drainage 1,000 mL in 24 hours
Patient is undergoing CABG using the radial artery. Nurse should anticipate
which? - ✔✔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? - ✔✔Progressive mobility,
Incentive spirometry exercises,
Deep breathing
Which findings in a patient in the acute recovery phase post-cardiac
surgery indicate possible cardiac tamponade? - ✔✔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? - ✔✔COPD and poorly controlled diabetes,
CKD and history of stroke,
Two previous sternotomies for CABG