A nurse is assessing for cardiac Tampanode on a patient who had coronary artery bypass graft. Which of the following actions should the nurse take?

auscultate BP for pulsus paradoxus -pt w/ cardiac tamponade will have this when systolic BP is at least 10 mm Hg higher on expiration than on inspiration; this occurs b/c of sudden decrease in cardiac output from fluid compressing atria and ventricles -manifestations: d/t sudden decrease in cardiac output from fluid compressing atria and ventricles, hypotension pulsus paradoxus, and muffled heart sounds occur -check for cardiac tampondae by checking apical and radial pulses simultaneously to determine if rate is same; if different, indicates cardiac dysrhythmias More test answers on https://studyhippo.com/ati-learning-systems-rn-medical-surgical-cardiovascular-and-hematology/

During coronary artery bypass graft (CABG) surgery, a male client with a history of chronic tobacco abuse experiences a dramatic decrease in his oxygen saturation. Subsequently, the client remains on a ventilator two days longer than anticipated. Which factor should the nurse consider when evaluating the client’s progress?

Variance- A variance is any event that may alter a pt’s progress through the clinical pathway, such as remaining on a ventilator for an additional two days More test answers on https://studyhippo.com/hesi-management-practice-test-test-answers/

a nurse is caring for a client in the first 8 hr following coronary artery bypass graft (CABG) surgery. which of the following client findings should the nurse report to the provider? -mediastinal drainage 100mL/hr -blood pressure 160/80 mm Hg -Temperature 37.1 (98.9) -Potassium 3.8 mEq/L

blood pressure 160/80 mm Hg the nurse should report an elevated blood pressure following a CABG procedure because increased vascular pressure can cause bleeding at the incision sites. More test answers on https://studyhippo.com/cardiovascular-health/

6.ID: 809532937 A 71-year-old male patient who is currently undergoing coronary artery bypass graft (CABG) surgery has just experienced intraoperative vomiting. The nurse should consequently anticipate the use of which drug? Midazolam (Versed) Fentanyl (Sublimaze) Meperidine (Demerol) Ondansetron (Zofran) Correct

Ondansetron (Zofran) Correct Ondansetron (Zofran) is an antiemetic, whereas midazolam (Versed) is a benzodiazepine, and fentanyl (Sublimaze) and meperidine (Demerol) are opioid analgesics. More test answers on https://studyhippo.com/nclex-chapter-19-med-surg/

subjective -past medical hx: smoker, COPD, asthma, heart failure or MI in the past, lung cancer, stroke, pacemaker, pneumonia, bronchitis -past surgical hx: cardiac surgery, coronary artery bypass graft -chest pain: location; quality-sharp, dull; does it feel like a pressure; rate on scale of 0-10 -fatigue: have you been excessively tired lately; cells aren’t getting enough O2 -dyspnea: SOB, DOE-SOB on exertion -orthopnea: can’t breath when lying flat (3 pillow orthopnea) -cough: if yes, is it productive? if yes, how much sputum are you coughing up? copious amounts or a little, color and odor of sputum, blood (hemoptosis) -wheezing -allergies: food, seasonal -meds: what they take at home, anticoagulants, Digoxin, inhalers, anit-hypertensives, taking BP meds -infection: any recurrent respiratory infections

subjective data-tissue perfusion More test answers on https://studyhippo.com/nursing-competencies-ch-3540-oxygenation-and-tissue-perfusion/

A nurse is caring for a client who is scheduled for a coronary artery bypass graft (CABG) in 2 hr. Which of the following client statements indicates a need for further clarification by the nurse? A. “My arthritis is really bothering me because I haven’t taken my aspirin in a week.” B. “My blood pressure shouldn’t be high because I took my blood pressure medication this morning.” C. “I took my warfarin last night according to my usual schedule.” D. “I will check my blood sugar because I took a reduced dose of insulin this morning.”

C. “I took my warfarin last night according to my usual schedule.” More test answers on https://studyhippo.com/ati-cardiovascular-assessment/

An OR nurse is preparing to assist with a coronary artery bypass graft (CABG). The OR nurse knows that the vessel most commonly used as source for a CABG is what? A) Brachial artery B) Brachial vein C) Femoral artery D) Greater saphenous vein

Ans: Greater saphenous vein Feedback: The greater saphenous vein is the most commonly used graft site for CABG. The right and left internal mammary arteries, radial arteries, and gastroepiploic artery are other graft sites used, though not as frequently. The femoral artery, brachial artery, and brachial vein are never harvested. More test answers on https://studyhippo.com/chapter-27-236521/

The OR nurse is explaining to a patient that cardiac surgery requires the absence of blood from the surgical field. At the same time, it is imperative to maintain perfusion of body organs and tissues. What technique for achieving these simultaneous goals should the nurse describe? A) Coronary artery bypass graft (CABG) B) Percutaneous transluminal coronary angioplasty (PTCA) C) Atherectomy D) Cardiopulmonary bypass

Ans: Cardiopulmonary bypass Feedback: Cardiopulmonary bypass is often used to circulate and oxygenate blood mechanically while bypassing the heart and lungs. PTCA, atherectomy, and CABG are all surgical procedures, none of which achieves the two goals listed. More test answers on https://studyhippo.com/chapter-27-236521/

The nurse receives report from the previous shift. Which of the following patients should the nurse see FIRST? 1. A patient post coronary artery bypass graft (CABG) having the atrioventricular (AV) wires removed later in the day. 2. A patient with type 1 diabetes scheduled for a cardiac catheterization later today. 3. A patient 1 day postoperative with an epidural catheter in place. 4. A patient diagnosed with cardiomyopathy being evaluated for a heart transplant.

(1) although the patient requires a high level of nursing care, no indication that the patient is unstable (2) patient requires preoperative assessment and teaching, no indication that the patient is unstable (3) correct —epidural used for pain relief, monitor for urinary incontinence, hypotension, respiratory depression, and nausea and vomiting (4) requires monitoring but patient with epidural takes priority More test answers on https://studyhippo.com/nclex-review-3/

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Coronary Artery Bypass Graft Flashcards, test questions and answers

Q: coronary artery bypass graft (CABG)

surgical technique to bring a new blood supply to heart muscle by detouring around blocked arteries More test answers on https://studyhippo.com/med-terms-chapter-10b/

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What is Coronary Artery Bypass Graft?

Coronary artery bypass graft (CABG) is a type of surgery used to treat coronary heart disease, also known as coronary artery disease. It is a procedure that involves bypassing a blocked or narrowed artery in the heart with a healthy piece of blood vessel from elsewhere in the body. This helps to improve blood flow and oxygen supply to the heart muscle. CABG has been used for decades and is one of the most common types of major surgeries performed in hospitals today.The procedure begins with an incision made through the chest wall, just below the sternum, so that surgeons can access the heart. The blocked or narrowed artery must then be identified and isolated so it can be removed or bypassed with a healthy piece of blood vessel (graft). The graft will reroute blood around any blockages in order to reach areas that are not getting enough oxygen-rich blood due to poor circulation.Once this part of the procedure is complete, it’s time for closure. The incision will be sewn up and you will typically spend several days in recovery before being released from hospital care. Depending on your overall health, recovery time may range anywhere from four weeks to three months following CABG surgery; however most people see good results after just six weeks. CABG has been proven safe and effective for treating coronary artery disease; however there are some risks associated with it such as infection at the incision site, bleeding during surgery, stroke or other complications related to anesthesia or open chest surgery. Additionally, long-term success rates depend on how well you follow your post-operative instructions regarding lifestyle changes like quitting smoking and exercising regularly amongst other things like taking medications prescribed by your doctor as directed. Overall CABG is an effective treatment option for individuals suffering from coronary artery disease when lifestyle changes alone do not provide sufficient relief; however it’s important that those considering this type of surgery weigh all their options carefully first before committing themselves too quickly on something they may later regret not having done sooner.