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A client undergoing coronary artery bypass surgery is subjected to intentional hypothermia. The client is ready for rewarming procedures. Which action by the nurse is appropriate?
Apply a warm air blanket, gradually increasing body temperature.
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A patient undergoing coronary artery bypass surgery is subjected to intentional hypothermia. The patient is ready for rewarming procedures. Which of the following actions by the nurse is appropriate?
Apply a warm air blanket, gradually increasing body temperature. Explanation: A warm air blanket can be used to treat hypothermia.
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Twelve hours post coronary artery bypass surgery (CABG), the nurse notes the client’s level of consciousness has decreased from alert to somnolent. BP 88/50, HR 130 and thready, resp 32, urinary output (UOP) has dropped from 100 ml one hour earlier to 20 mL this hour. What would be the nurse’s first action? 1. Administer high flow oxygen per mask. 2. Lower the head of the bed in order to raise BP. 3. Give the ordered Lasix to increase urinary output. 4. Re-check the BP in the other arm.
Administer high flow oxygen per mask.
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The most effective measure the nurse can use to prevent wound infection when changing a client’s dressing after coronary artery bypass surgery is to: a) Observe careful hand-washing procedures. b) Clean the incisional area with an antiseptic. c) Use prepackaged sterile dressings to cover the incision. d) Place soiled dressings in a waterproof bag before disposing of them.
Answer: Observe careful hand-washing procedures Rationale: Many factors help prevent wound infections, including washing hands carefully, using sterile prepackaged supplies and equipment, cleaning the incisional area well, and disposing of soiled dressings properly. However, most authorities say that the single most effective measure in preventing wound infections is to wash the hands carefully before and after changing dressings. Careful hand washing is also important in reducing other infections often acquired in hospitals, such as urinary tract and respiratory tract infections.
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Identify the first-listed diagnosis in the following outpatient encounters. Established patient presents with chest pain. He has a history of previous myocardial infarction and coronary artery bypass surgery.
chest pain
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