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AACN ECCO Cardiovascular Part 4 Questions and answers Correct answers
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AACN ECCO Cardiovascular Part 4 Questions and answers Correct answers
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Solution 2024/2025Pepper
AACN ECCO Cardiovascular Part 4
What incision care interventions should a nurse use while monitoring a post-cardiac surgery patient's incisions and
access sites? ANS✔✔ Elevate donor leg after vein harvesting, Maintain OR dressings for 24-48 hours, Irrigate
Anesthesia handoff for patient admitted to ICU shows BP 86/52 (63), HR 112, and RAP 4 mm HG. In ICU, CT output is 49
mL over the first hour. For which condition should you intervene, and based on what information? ANS✔✔ Intravascular
hypovolemia: BP, HR
In caring for a patient who underwent CABG with a saphenous vein graft, the nurse should anticipate which postop
intervention(s)? ANS✔✔ Administer ASA within first six hours and elevate donor leg
Patient underwent CABG with cardiopulmonary bypass. Which rhythm disturbance is most likely to occur? ANS✔✔ A-fib
Patient is 24 hours post-CABG with a left radial artery graft. Which is an unexpected finding? ANS✔✔ NOT: Chest tub
drainage 1,000 mL in 24 hours
, Solution 2024/2025
Pepper
Patient is undergoing CABG using the radial artery. Nurse should anticipate which? ANS✔✔ Performing Allen's test
Nurse finds dyspnea, bilaterally diminished breath sounds, and respiratory distress in a patient in the acute recovery
phase post-cardiac surgery. What interventions should the nurse anticipate? ANS✔✔ Progressive mobility,
Incentive spirometry exercises,
Deep breathing
Which findings in a patient in the acute recovery phase post-cardiac surgery indicate possible cardiac tamponade?
ANS✔✔ Decreased ECG voltage; narrow pulse pressure,
Significant, abrupt ↓ in mediastinal CT output; tachycardia
Muffled heart sounds; ↓ UO and CO
Which additional conditions make it likely that a patient with severe aortic stenosis will be advised to undergo TAVR
instead of surgical aortic valve replacement? ANS✔✔ COPD and poorly controlled diabetes,
CKD and history of stroke,
Two previous sternotomies for CABG
Patient is admitted post-TAVR with a transfemoral approach. Which findings related to the procedure leg should cause
concern? ANS✔✔ TRY: Pallor, Pain
What are the nurse's care priorities for a patient who underwent TAVR via transaxillary approach? ANS✔✔ Assess
sensory and motor function on affected side,
Anticipate return to OR for ongoing bleeding or vascular insufficiency,
Anticipate return to OR for pseudoaneurysm
A nurse caring for a patient post-op cardiac valve replacement with a heterograft valve should anticipate administration
of which med(s)? ANS✔✔ Daily ASA
In caring for a patient undergoing cardiopulmonary bypass surgery, which of the following interventions, in addition to
hypothermia, protect the heart and other vital organs? ANS✔✔ Heparinization,
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