Author Question: Which assessment finding by the nurse caring for a patient who has had coronary artery bypass ... (Read 78 times)

savannahhooper · **on:** Jun 25, 2018

Which assessment finding by the nurse caring for a patient who has had coronary artery bypass grafting using a right radial artery graft is most important to communicate to the health care provider?

a. Complaints of incisional chest pain
b. Pallor and weakness of the right hand
c. Fine crackles heard at both lung bases
d. Redness on both sides of the sternal incision

Question 2

A patient who is being admitted to the emergency department with intermittent chest pain gives the following list of medications to the nurse. Which medication has the most immediate implications for the patient's care?

a. Sildenafil (Viagra)
b. Furosemide (Lasix)
c. Captopril (Capoten)
d. Warfarin (Coumadin)

macagn · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
The changes in the right hand indicate compromised blood flow, which requires immediate evaluation and actions such as prescribed calcium channel blockers or surgery. The other changes are expected and/or require nursing interventions.

Answer to Question 2

ANS: A
The nurse will need to avoid giving nitrates to the patient because nitrate administration is contraindicated in patients who are using sildenafil because of the risk of severe hypotension caused by vasodilation. The other home medications also should be documented and reported to the health care provider but do not have as immediate an impact on decisions about the patient's treatment.