Question 17Type: MCSAThe nurse is teaching a patient about coronary artery bypass surgery via the left internal mammary artery. Which information is essential for the patient to understand?
1. “You must still reduce or modify cardiac risk factors.”2. “This surgery prolongs life an average of 2 years.”3. “You have only a minimal chance of functional improvement, even with this surgery.”4. “This surgery will cure your atherosclerosis.”Correct Answer: Rationale 1: It is essential that the patient understand that the goal of the surgery is to relieve symptoms and improve quality of life. The patient must still reduce or modify controllable risk factors to retard the underlying process.Rationale 2: Left internal mammary artery grafts have a 10-year patency rate of 85% to 95%.
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Rationale 3: CABG provides nearly complete revascularization and long-term relief of symptoms.Rationale 4: The surgery is not performed to cure atherosclerosis.
Global Rationale:
Cognitive Level:
Analyzing
Client Need:
Physiological Integrity
Client Need Sub:
Physiological Adaptation
Nursing/Integrated Concepts:
Nursing Process: Planning
Learning Outcome:
32-7
Question 18Type: MCMAA patient, recovering from coronary artery bypass graft (CABG) surgery, tells the nurse that it feels good to be cured of heart disease. Which are appropriate responses by the nurse?Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.
Global Rationale:
Cognitive Level:
Applying
Client Need:
Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts:
Nursing Process: Implementation
Learning Outcome:
32-7
