The nurse is caring for a client status/post a Myocardial Infarction who is questioning procedures utilized for treatment. Which of the following statements correctly explains a Coronary Artery Bypass Grafting (CABG)?
A balloon will be inflated within the artery to open the blocked artery.
A medication will be given to dissolve the blood clot.
A dye will be injected to outline the vessels of the heart.
A healthy artery or vein will go around the blocked portion of the coronary artery.
The Correct Answer is D
A. A balloon inflation within the artery describes percutaneous coronary intervention (PCI) or angioplasty, not CABG.
B. A medication to dissolve a blood clot refers to thrombolytic therapy, which is not part of a CABG procedure.
C. Injecting dye to outline heart vessels describes a coronary angiogram, which is a diagnostic procedure but not a treatment.
D. CABG involves using a healthy artery or vein to bypass the blocked portion of a coronary artery, restoring proper blood flow to the heart muscle.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Obtaining an ECG is important but not the first priority. The immediate goal is to reduce the heart's oxygen demand.
B. Having the client sit down immediately is correct. Stopping activity reduces cardiac workload and oxygen demand, preventing further ischemia or infarction.
C. Assessing vital signs is important but should be done after stopping activity. While vital signs provide critical information, immediate intervention is needed first.
D. Administering sublingual nitroglycerin is appropriate but should be done after ensuring the client is seated. This prevents hypotension and syncope from occurring while standing.
Correct Answer is ["C","D","E"]
Explanation
A. Assessing level of consciousness is a nursing responsibility and cannot be delegated to the UAP.
B. Auscultating breath sounds requires clinical judgment and must be performed by a nurse.
C. Encouraging deep breathing exercises is within the scope of a UAP and can help improve gas exchange.
D. Recording a pulse oximeter reading is a task that can be delegated to a UAP, though interpretation remains the nurse’s responsibility.
E. Keeping the head of the bed elevated helps improve oxygenation and can be done by the UAP.
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