Preoperative teaching is an important part of the nursing care of patients having coronary artery revascularization. When explaining the pre- and post-operative regimens the nurse would be sure to include teaching on what?
A) Symptoms of hypovolemia
B) Symptoms of low blood pressure
C) Cardiopulmonary bypass removal
D) Mechanical ventilation
Ans: D
Feedback: Most patients remain intubated and on mechanical ventilation for 2 to 24 hours after surgery. It is important that patients realize that this will prevent them from talking, and the nurse should reassure them that the staff will be able to assist them with other means of communication. Teaching would generally not include symptoms of low blood pressure or hypovolemia. Teaching would also generally not include how the cardiopulmonary bypass machine is removed.
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A 42-year-old man has been diagnosed with a glial oligodenroglioma tumor. Which of the following is applicable to this type of tumor?
A) It is categorized as a high-grade tumor. B) It is more sensitive to chemotherapy than other glial tumors. C) It is the least common type of neoplasm D) It is a benign brain tumor.
The nurse cares for four clients with acid-base imbalances. Which client is most likely experiencing metabolic alkalosis?
A) Adult who has had lactated Ringer's solution infusing for 72 hours. B) Adolescent with a diagnosis of diabetic ketoacidosis. C) Older adult with a diagnosis of salicylate poisoning. D) Child with severe diarrhea.
What is a priority of care for an infant with an intraventricular hemorrhage?
a. Avoid use of analgesia. b. Keep the infant's head to the right side. c. Minimize interventions that cause crying. d. Encourage the staff and parents to hold the infant.
What technique should the nurse use to assess the point of maximal impulse (PMI)?
A. With the client in a supine position at a 45-degree angle, compress the upper right abdomen for 30 to 40 seconds and observe for neck vein distention. B. Measure the blood pressure in both upper arms. The arm with the highest pressure should be used for blood pressure measurement thereafter. C. Apply the bell of the stethoscope over the skin of the carotid artery while the client holds his or her breath. D. With the client in the supine position, inspect the chest for prominent precordial pulsations.