The patient has had coronary artery bypass surgery involving the cardiopulmonary bypass pump, systemic hypothermia, topical cardiac hypothermia, and cold cardioplegia
As a result of the various hypothermic therapies, numerous postoperative complications may ensue. What collaborative postoperative intervention is specifically directed at ameliorating one or more of these complications?
A) Use of intravenous pain and sedation medications
B) Mechanical ventilation and supplemental oxygen therapy
C) Vital signs every hour until stable or transferred to step-down unit
D) Management of mediastinal chest tube drainage
B
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The patient has a diagnosis of atherosclerosis. When a branch of the coronary artery becomes completely blocked, what event will the nurse expect to occur?
A) Heart failure B) Arrhythmia C) Myocardial infarction D) Hypertension
Upon assessment of the patient's bladder the nurse percusses dullness. This finding indicates:
A) Incomplete bladder emptying B) Kidney enlargement C) Ureteral obstruction D) Dehydration
A client asks the nurse if there are any conditions that can exacerbate systemic lupus erythematosus (SLE). Which response by the nurse is the most appropriate?
A) "Conditions that cause hypotension can often exacerbate SLE." B) "GI upset is often associated with SLE exacerbation." C) "Pregnancy is often associated with an SLE exacerbation." D) "Fever is a known trigger for an SLE exacerbation."
A patient on your unit is in an addisonian crisis. You know the patient requires immediate treatment with what?
A) Vasopressors B) Oral fluids C) Calcium channel blockers D) Antihypertensives