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Coronary artery bypass surgery graft (CABG) - ANSWER-
Places a client at risk for hypokalemia from hemodilution,
nasogastric suction, or diuretic therapy, so the serum
potassium level is maintained between 4 and 5 mEq/L to avoid
dysrhythmias.
Atrophic vaginitis - ANSWER-A condition in menopausal
women where the vaginal mucous membrane responds to low
estrogen levels, causing the vaginal walls to become thinner,
drier, and susceptible to infection.
Perineal cutaneous candidiasis - ANSWER-Contributes to
manifestations of
vaginal infections, such as vaginal irritation, burning,
pruritus, increased
leukorrhea, bleeding, and
dyspareunia.
,Impaired comfort - ANSWER-The primary nursing diagnosis
for a client with
atrophic vaginitis and perineal cutaneous
candidiasis.
Serum creatine kinase-MB (CK-MB) - ANSWER-The most
reliable indicator of
myocardial
necrosis.
Troponin levels - ANSWER-An elevated serum troponin has
become the cardiac marker of choice for diagnosing an acute
MI, becoming evident within 23 hours of an MI.
Cuffed tracheostomy tube - ANSWER-A device used in
clients who are
breathing spontaneously to evaluate if they can tolerate
cuff deflation to
promote speaking and
swallowing.
Aspiration risk evaluation - ANSWER-Involves instructing the
client to swallow a small amount of colored water and
observing for coughing up colored sputum.
Synchronous pacemaker - ANSWER-A device that maintains a
heart rate of 60
beats per minute by firing an impulse
every second.
,Ventricular irritability prevention - ANSWER-Achieved by
the constant rate
setting of the
pacemaker.
Ectopic stimulus suppression - ANSWER-Accomplished by the
device usurping
depolarization in the
atria.
Serum myoglobin levels - ANSWER-Needed to confirm
myocardial damage.
Serum cardiac markers - ANSWER-Inconclusive in
determining myocardial
injury after waiting
several days.
Normal potassium level - ANSWER-Maintained between 4
and 5 mEq/L to
avoid
dysrhythmias.
Menopausal vaginal changes - ANSWER-Result in thinner,
drier vaginal walls
due to low estrogen
levels.
, Vaginal infections manifestations - ANSWER-Include vaginal
irritation, burning,
pruritus, increased leukorrhea, bleeding, and
dyspareunia.
Coughing colored sputum - ANSWER-An indicator of
aspiration risk after
deflating a cuffed
tracheostomy tube.
Cardiac marker of choice - ANSWER-An elevated serum
troponin for
diagnosing an acute MI according to ACC
guidelines.
Documentation of normal finding - ANSWER-Indicated
at the time of
maintaining serum
potassium levels.
Nursing diagnosis priority - ANSWER-Impaired comfort for a
client with atrophic
vaginitis and perineal cutaneous
candidiasis.
Chest pain evaluation - ANSWER-Involves assessing
laboratory findings for
serum CK-MB and troponin
levels.