Chapter 22 Cardiac Surgery

Chapter 22  Cardiac Surgery

Complete Chapter Questions And Answers
 

Sample Questions

1.
A patient is recovering in the CCU following carotid endarterectomy. What intervention should the nurse make to ensure that a hematoma is not forming in the patient’s neck?
A)
Assess neck size by comparing operative side with nonoperative side.
B)
Monitor pupil reactivity.
C)
Assess hand grip.
D)
Monitor blood pressure.

2.
A patient who recently underwent carotid endarterectomy is exhibiting signs of stroke. Which intervention or interventions should the nurse take to assess this patient’s neurological function? Select all that apply.
A)
Measure chest tube output.
B)
Assess eye movement.
C)
Monitor level of consciousness.
D)
Assess urine output.

3.
A patient with left main coronary artery disease (CAD) experiences persistent angina. She would like to exercise more, but is limited by shortness of breath and angina. Her physician believes that she is a good candidate for coronary artery bypass graft. The nurse recognizes that which of the following are indications for coronary artery bypass graft (CABG) surgery in this situation?
A)
Having left main CAD
B)
Being a good candidate for angioplasty and stenting
C)
Having persistent angina
D)
Availability of new effective CAD medication
E)
Limited exercise tolerance
F)
The patient’s spouse was successfully treated with CABG

4.
A patient in the CCU is recovering from coronary artery bypass graft (CABG) surgery. He has had multiple graft surgeries in the past. For this latest surgery, the patient’s radial artery was used in the graft. What complication should the nurse most expect to observe in this patient?
A)
Occlusion
B)
Infection
C)
Arterial spasm
D)
Internal hemorrhaging

5.
A patient is recovering in the CCU following off-pump coronary artery bypass graft (OPCABG) surgery involving the internal mammary artery graft. What nursing intervention is most important for the first 48 hours following surgery for this patient?
A)
Administration of anticoagulant therapy
B)
Administration of calcium channel blockers
C)
Monitoring of fluid status
D)
Assessment for hematoma

Answer Key

1.
A
2.
B, C
3.
A, C, E
4.
C
5.
A