AACN ECCO Cardiovascular Part 4 Questions and Answers

AACN ECCO Cardiovascular Part 4 Questions and Answers What incision care interventions should a nurse use while monitoring a post-cardiac surgery patient's incisions and access sites? - Ans:-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? - Ans:-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)? - Ans:-Administer ASA within first six hours and elevate donor leg Patient underwent CABG with cardiopulmonary bypass. Which rhythm disturbance is most likely to occur? - Ans:-A-fib Patient is 24 hours post-CABG with a left radial artery graft. Which is an unexpected finding? - Ans:- NOT: Chest tub drainage 1,000 mL in 24 hours Patient is undergoing CABG using the radial artery. Nurse should anticipate which? - Ans:-Performing Allen's test ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/10 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? - Ans:- Progressive mobility, Incentive spirometry exercises, Deep breathing Which findings in a patient in the acute recovery phase post-cardiac surgery indicate possible cardiac tamponade? - Ans:-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? - Ans:-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? - Ans:-TRY: Pallor, Pain ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/10 What are the nurse's care priorities for a patient who underwent TAVR via transaxillary approach? - Ans:-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)? - Ans:-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? - Ans:-Heparinization, ↓ blood viscosity, Cardioplegia How does early mobility benefit a patient in the acute recovery phase po