A client with coronary artery disease is scheduled for a minimally invasive direct coronary artery bypass (MIDCAB). The client asks how this procedure differs from a traditional coro-nary artery bypass. What is the nurse's best response?
A. "The sternotomy incision is smaller."
B. "Cardiopulmonary bypass is not required."
C. "There is far less incisional pain with a MIDCAB."
D. "There is no risk of graft closure after this procedure."
B
With a MIDCAB procedure, cardiopulmonary bypass is not required. It uses a thoracotomy inci-sion rather that a sternotomy. Clients who have a MIDCAB report more incisional pain as com-pared with a traditional CABG. There is a risk of graft closure, as with a CABG.
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a. Hypertension b. Fatigue despite adequate rest c. Indigestion d. Abdominal pain e. Shortness of breath
The nurse has provided discharge education for a patient who had valve replacement surgery and is on warfarin. Which statement by the patient would indicate understanding of the nurse's instruction?
1. "I need to report bruising, bleeding, epistaxis, and hemoptysis to my health care provider." 2. "I should take aspirin and anti-inflammatory drugs (NSAIDs) for pain." 3. "I should avoid red meat." 4. "I need to eat large amounts of yellow and dark green vegetables."
Which of the following statements made by a nurse shows the best understanding regarding the requirements of the Health Insurance Portability and Accountability Act (HIPAA) of 2003?
1. "I'm always careful to close the door when taping or listening to the unit's shift report." 2. "The nursing assistants know to hand me the vital signs sheet and not just put it on the medication cart." 3. "I called the radiology department to tell them I would be faxing the client in-formation they requested." 4. "The client's niece called to see how she slept last night, but I told her I couldn't share that with her over the phone."
When using the DMAIC acronym of the Six Sigma quality process improvement model, the nurse understands that the D (define) refers to
a. the cost of getting a new MRI machine. b. the patients and their families. c. the number of dollars in donations. d. the number of dollars spent on charity.