This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The nurse performs patient teaching about minimally invasive direct coronary artery bypass (MIDCAB). ... (Read 79 times)

jerry coleman

  • Hero Member
  • *****
  • Posts: 570
on: Jun 25, 2018
The nurse performs patient teaching about minimally invasive direct coronary artery bypass (MIDCAB). Which statement indicates that the patient needs further instruction?
 
  a. It frightens me to think that my heart will be stopped for a long time during sur-gery.
  b. This surgery bypasses my artery that is blocked, and replaces it with sections of a vein or artery taken from another part of my body.
  c. This surgery will hopefully control my angina since nothing else we have tried has worked.
  d. I may come out of surgery with vessels removed from my legs.

Question 2

The nurse is caring for an 80-year-old patient with a history of type 2 diabetes and hypothyroid-ism. The physician wants to evaluate the patient's blood glucose levels and orders a fructosamine assay.
 
  Which factor best explains why the physician chose this laboratory test instead a glycosy-lated hemoglobin (HbA1c) test?
  a. The patient's age
  b. Type 2 diabetes
  c. Hypothyroidism
  d. The tests' costs


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

mfedorka

  • Sr. Member
  • ****
  • Posts: 324
Reply #1 on: Jun 25, 2018
Answer to Question 1

A
The MIDCAB procedure is less invasive than the traditional coronary artery bypass graft (CABG) procedure and does not require the patient be placed on the heart-lung machine due to stopping the heart for an extended period. Both procedures are used to treat angina that has not responded to more conservative treatment and utilize either the mammary artery or sections of the saphenous vein for the graft.

Answer to Question 2

B
The fructosamine assay is a diagnostic test used to assess the degree of diabetic control of blood sugar over the preceding 2- to 3-week period. The fructosamine assay is a better tool for the older adult as it is less influenced by age. The fructosamine assay is not specific to type 1or type 2 diabetes. Its accuracy is not affected by hypothyroidism. While the fructosamine assay is simpler and cheaper than an HbA1c test, the accuracy of results for this patient takes priority.


jerry coleman

  • Member
  • Posts: 570
Reply 2 on: Jun 25, 2018
:D TYSM

aruss1303

  • Member
  • Posts: 314
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

Pope Sylvester II tried to introduce Arabic numbers into Europe between the years 999 and 1003, but their use did not catch on for a few more centuries, and Roman numerals continued to be the primary number system.

Did you know?

The senior population grows every year. Seniors older than 65 years of age now comprise more than 13% of the total population. However, women outlive men. In the 85-and-over age group, there are only 45 men to every 100 women.

Did you know?

Liver spots have nothing whatsoever to do with the liver. They are a type of freckles commonly seen in older adults who have been out in the sun without sufficient sunscreen.

Did you know?

Eating carrots will improve your eyesight. Carrots are high in vitamin A (retinol), which is essential for good vision. It can also be found in milk, cheese, egg yolks, and liver.

Did you know?

Approximately 15–25% of recognized pregnancies end in miscarriage. However, many miscarriages often occur before a woman even knows she is pregnant.

Thyroid scan. The right image is the data from a thyroid scan, printed on a superimposed map of the Thyroid scan. The right image is the data from a thyroid scan, printed on a superimposed map of the
Treating the pregnant patient Treating the pregnant patient
Patient teaching: heart assessment Patient teaching: heart assessment
Assisting a falling patient. Assisting a falling patient.
Sandwich or capture enzyme immunoassay for patient IgM (double capture: IgM capture, Ag capture). Sandwich or capture enzyme immunoassay for patient IgM (double capture: IgM capture, Ag capture).
Sign and symptoms of a patient with heart failure Sign and symptoms of a patient with heart failure
Video: TRH/TSH/Thyroid hormone

For a complete list of videos, visit our video library