A patient is admitted to the ICU after a positive exercise treadmill test with a diagnosis of CAD and stable angina. 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. c. TAVR.
b. PCI. 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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When auscultating the blood pressure of a 25-year-old patient, the nurse notices the phase I Korotkoff sounds begin at 200 mm Hg. At 100 mm Hg, the Korotkoff sounds muffle. At 92 mm Hg, the Korotkoff sounds disappear
How should the nurse record this patient's blood pressure? a. 200/92 b. 200/100 c. 100/200/92 d. 200/100/92
The nurse is caring for a client who received spinal anesthesia. The client calls the nurse into the room, saying, "Come quick! I can't feel my legs!" The nurse's best response is:
1. "I will call the doctor immediately." 2. "Loss of feeling is normal, and will subside as the anesthesia wears off." 3. "Have you fallen or injured yourself in any way since surgery?" 4. "Did this occur suddenly, or have you noticed this ever since surgery?"
Which client is most likely to have the least stress adjusting to her role as mother?
a. A 16-year-old teenager who lives with parents and has a strained relationship with her mother b. A 26-year-old woman who is returning to work in 10 weeks c. A 35-year-old anxious mother who has had no contact with babies or children d. A 25-year-old woman who knew at 16 weeks of gestation that she was pregnant with twins, who were delivered by cesarean birth
A 55-year-old patient, who has been the primary caregiver for her recently deceased father, tells the nurse that caring for her father has left her feeling exhausted and lonely. What condition should the nurse consider as a risk for this patient?
1. Bipolar disorder 2. Schizoaffective disorder 3. Complicated grief disorder 4. Generalized anxiety disorder netics, childhood trauma, and substance abuse.