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AACN ECCO Cardiovascular Part 4- Questions and Answers
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AACN ECCO Cardiovascular Part 4- Questions and Answers
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AACN ECCO Cardiovascular Part 4- Questionsand Answers
NORMAL CT output during acute phase post cardiac surgery = 1 L during entire post-op period.
Correct Ans-Excessive output =
500 mL in 1st hour
400 mL in first 2 hours
300 mL in first 3 hours
Conitinuous output > 200mL/hr
Excessive bleeding post cardiac surgery w/250 mL continuous CT output: Correct Ans-
Administer protamine for elevated ACT
Repeat coagulation tests and H&H after admin of blood products
Maintain CT patency
Ensure surgical team aware of bleeding
Surgical re-exploration likely
S/S inadequate CO: Correct Ans--changes in mental status
-metabolic acidosis
-cool clammy skin, slow capillary refill, UO < 0.5/hr
-tachypnea
-persistent CI < 2.0
-SvO2 < 65%
-MAP < 65
-Diminished peripheral pulses
, Your patient presents with hypotension, tachycardia, and low CO. The CT output has declined,
the CVP was 12 and is now 24, and the PA was 40/20 but is now 36/30. What urgent action
should you perform? Correct Ans-Report findings of cardiac tamponade
Excessive mediastinal bleedind → cardiac tamponade Correct Ans--rapid fluid resuscitation
-inotropes until relieved
-immediate notification to MD, as pt must return to OR
Post cardiac surgery stroke/TIA: Correct Ans-Fibrinolytics are NOT given
Which patient response to rapid ventricular pacing should the nurse anticipate during a TAVR?
Correct Ans-Significant drop in BP
Significant drop in CO
Patient with diabetes had CABG. Ideal glucose? Correct Ans-<180
In a patient post-TAVR, signs indicating paravalvular leak? Correct Ans-↓ Hct
Jaundice
↑ Haptoglobin & lactate dehydrogenase
Which statement about hypothermia and rewarming after cardiac surgery is true? Correct
Ans-↓ risk of bleeding,
Initiate rewarming of temperature falls below 96.8
For a patient post-TAVR with intraoperative AV heart block, which treatment plan should the
nurse anticipate? Correct Ans-Monitoring 4-7 days post for conduction abnormalities
Hospitalization 96 hour minimum
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