a What do you think caused your chest pain b Where are you planning to go for

A what do you think caused your chest pain b where

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a. “What do you think caused your chest pain?” b . “Where are you planning to go for your vacation?” c. “Sometimes plans need to change after a heart attack.” d . “Recovery from a heart attack takes at least a few weeks.” CABG surgery. What is it? How do they do it? What to teach pt. Pre-op? Can take more than one vein--will have multiple incisions When evaluating the effectiveness of preoperative teaching with a patient scheduled for coronary artery bypass graft (CABG) surgery using the internal mammary artery, the nurse determines that additional teaching is needed when the patient says which of the following? a. “They will circulate my blood with a machine during surgery.” b . “I will have incisions in my leg where they will remove the vein.” c. “They will use an artery near my heart to go around the area that is blocked.” d . “I will need to take an aspirin every day after the surgery to keep the graft open.” After CABG, when can they have sex again? Climb stairs without SOB A patient who is recovering from an acute myocardial infarction (AMI) asks the nurse when sexual intercourse can be resumed. Which response by the nurse is best ?
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a. “Most patients are able to enjoy intercourse without any complications.” b. “Sexual activity uses about as much energy as climbing two flights of stairs.” c. “The doctor will provide sexual guidelines when your heart is strong enough.” d. “Holding and cuddling are good ways to maintain intimacy after a heart attack.” Prilostatin (Travocol), Niocin. What are they for, what side effects do they have A patient who has recently started taking pravastatin (Pravachol) and niacin reports several symptoms to the nurse. Which information is most important to communicate to the health care provider? a. Generalized muscle aches and pains b . Dizziness with rapid position changes c. Nausea when taking the drugs before meals d . Flushing and pruritus after taking the drugs What can LPN’s do? Pt. back from procedure, LPN cannot do assessment, can’t give IV meds; can record I/Os, turn pt’s, give oral meds Mess with IV-NO Give IV push meds-NO Give PO meds-YES Turn patient-YES Record I and O-YES When caring for a patient who has just arrived on the telemetry unit after having cardiac catheterization, which nursing intervention should the nurse delegate to a licensed practical/vocational nurse (LPN/LVN)? a. Give the scheduled aspirin and lipid-lowering medication. b . Perform the initial assessment of the catheter insertion site. c. Teach the patient about the usual postprocedure plan of care. d . Titrate the heparin infusion according to the agency protocol.
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A patient had a non–ST-segment-elevation myocardial infarction (NSTEMI) 3 days ago. Which nursing intervention included in the plan of care is appropriate for the registered nurse (RN) to delegate to an experienced licensed practical/vocational nurse (LPN/LVN)?
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  • Spring '19
  • Grace Edobor

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