Type MCMA A patient who is recovering from cardiovascular surgery is

Type mcma a patient who is recovering from

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Question 19Type: MCMAA patient who is recovering from cardiovascular surgery is demonstrating chest tube output of greater than 100 mL per hour. Which nursing interventions are indicated?Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply. 1. Report to the surgeon.2. Check the hemoglobin and hematocrit.3. Administer a blood transfusion.4. Notify the family.5. Connect pacemaker wires.Correct Answer: 1,2Rationale 1: It is abnormal to have greater than 100 mL of drainage in 1 hour. It may indicate bleeding and needs to be assessed by the surgeon.Rationale 2: Hemoglobin and hematocrit should be checked.Rationale 3: The patient needs to be assessed along with the laboratory data before it is determined if a blood transfusion is necessary.Rationale 4: There is no need to notify the family until the patient has been assessed. The finding may be of no significance.Rationale 5: An increase in chest tube drainage does not indicate the need for a pacemaker. Global Rationale: Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 32-7
Question 20Type: MCSAThe family of a patient who experienced a stroke after CABG surgery asks the nurse what caused the stroke. What is the nurse’s best response? 1 Global Rationale: Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 32-7 Question 21Type: MCMAThe nurse would recommend closer evaluation for coronary artery disease (CAD) to a patient with which history?Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

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