A patient scheduled for a carotid endarterectomy asks what is going to happen in the procedure. What should the nurse explain to the patient?
a. "Procedures are constantly changing, so I don't know what might be planned."
b. "The procedure usually involves removing plaque from the lining of the carotid artery."
c. "An endarterectomy is usually done on major vessels of the heart to prevent the need for bypass surgery."
d. "Typically a catheter is passed through a large vessel in your groin and threaded up into your heart to allow the injection of dye."
ANS: B
An endarterectomy is commonly performed on the carotid artery. The artery is clamped on both sides of the occlusion, and an incision is made into the artery. The plaque is removed with forceps. A. This procedure has not changed. C. A carotid endarterectomy is not performed on heart vessels. D. This explains a cardiac catheterization.
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