The nurse performs patient teaching about minimally invasive direct coronary artery bypass (MIDCAB). Which statement indicates that the patient needs further instruction?
a. "It frightens me to think that my heart will be stopped for a long time during sur-gery."
b. "This surgery bypasses my artery that is blocked, and replaces it with sections of a vein or artery taken from another part of my body."
c. "This surgery will hopefully control my angina since nothing else we have tried has worked."
d. "I may come out of surgery with vessels removed from my legs."
A
The MIDCAB procedure is less invasive than the traditional coronary artery bypass graft (CABG) procedure and does not require the patient be placed on the heart-lung machine due to stopping the heart for an extended period. Both procedures are used to treat angina that has not responded to more conservative treatment and utilize either the mammary artery or sections of the saphenous vein for the graft.
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In writing out a list of medications for a patient, which statement would be best?
a. Lasix, 20 mg po once a day in the morning b. Lasix, 20 mg in the morning c. Lasix, 20 mg qd d. Lasix, 1 tablet by mouth every morning after breakfast.
A 64-year-old client is brought in to the clinic feeling thirsty with dry, sticky mucous membranes; decreased urine output; fever; a rough tongue; and is lethargic. Serum sodium level is above 145 mEq/L
Should the nurse start salt tablets when caring for this client? A) Yes, this will correct the sodium deficit. B) Yes, along with the hypotonic IV. C) No, start with the sodium chloride IV. D) No, sodium intake should be restricted.
With regard to the turns and other adjustments of the fetus during the birth process, known as the mechanism of labor, nurses should be aware that:
a. The seven critical movements must progress in a more or less orderly sequence. b. Asynclitism sometimes is achieved by means of the Leopold maneuver. c. The effects of the forces determining descent are modified by the shape of the woman's pelvis and the size of the fetal head. d. At birth the baby is said to achieve "restitution" (i.e., a return to the C-shape of the womb).
Huntington's disease is
A. an infectious condition. B. a hereditary condition. C. caused by prions. D. related to a traumatic injury.