A patient is admitted to the ICU after a positive exercise treadmill test with a diagnosis of CAD and stable angin
a. Radiographic test show that the patient has blockage in the left main coronary artery and four other vessels. The nurse anticipates that the patient will be scheduled for
a. medical therapy antianginal medications.
b. PCI.
c. TAVR.
d. CABG.
D
Early studies demonstrated coronary artery bypass graft surgery was more effective than medical therapy for improving survival in patients with left main or three-vessel coronary artery disease and at relieving anginal symptoms. Medical therapy is recommended if the ischemia is prevented by antianginal medications that are well tolerated by the patient. Surgical revascularization has been shown to be more efficacious than percutaneous coronary intervention in patients with multivessel or left main coronary disease. Transcatheter aortic valve replacement is a transformational therapy for patients who have severe aortic stenosis but who are extremely high-risk surgical candidates or who are inoperable by virtue of associated co-morbidities.
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The nurse is alarmed as she assesses a protruding umbilical cord from the vagina. What immediate action should the nurse take?
a. Monitor intensity of contractions b. Place the patient in the knee-chest position c. Notify the charge nurse d. Ask the patient to perform a Valsalva maneuver
A nurse working in a behavioral health facility cares for patients with various symptoms. Based on the patients' symptoms, which patient would the nurse identify as being at an increased risk for suicide?
A) A 35-year-old man with anxiety B) A person with a family history of suicide C) A person with an inability to form trusting relationships D) A person with loss of interest in career
A psychosocial factor that can affect the nutritional status of an older client is:
a. age c. medications affecting appetite b. decreased strength d. loneliness
The branch of the federal government that includes regulatory units such as the Division of Nursing of the Department of Health and Human Services is the
a. Executive branch b. Legislative branch c. Judicial branch d. Police power