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

Author Question: A patient with carotid atherosclerosis asks the nurse to describe a carotid endarterectomy. Which ... (Read 212 times)

WWatsford

  • Hero Member
  • *****
  • Posts: 539
    • Biology Forums!
on: Jun 25, 2018
A patient with carotid atherosclerosis asks the nurse to describe a carotid endarterectomy. Which response by the nurse is accurate?
 
  a. The obstructing plaque is surgically removed from an artery in the neck.
  b. The diseased portion of the artery in the brain is replaced with a synthetic graft.
  c. A wire is threaded through an artery in the leg to the clots in the carotid artery and the clots are removed.
  d. A catheter with a deflated balloon is positioned at the narrow area, and the balloon is inflated to flatten the plaque.

Question 2

A 56-year-old patient arrives in the emergency department with hemiparesis and dysarthria that started 2 hours previously, and health records show a history of several transient ischemic attacks (TIAs). The nurse anticipates preparing the patient for
 
  a. surgical endarterectomy.
  b. transluminal angioplasty.
  c. intravenous heparin administration.
  d. tissue plasminogen activator (tPA) infusion.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

millet

  • Sr. Member
  • ****
  • Posts: 354
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: A
In a carotid endarterectomy, the carotid artery is incised and the plaque is removed. The response beginning, The diseased portion of the artery in the brain is replaced describes an arterial graft procedure. The answer beginning, A catheter with a deflated balloon is positioned at the narrow area describes an angioplasty. The final response beginning, A wire is threaded through the artery describes the mechanical embolus removal in cerebral ischemia (MERCI) procedure.

Answer to Question 2

ANS: D
The patient's history and clinical manifestations suggest an acute ischemic stroke and a patient who is seen within 4.5 hours of stroke onset is likely to receive tPA (after screening with a CT scan). Heparin administration in the emergency phase is not indicated. Emergent carotid transluminal angioplasty or endarterectomy is not indicated for the patient who is having an acute ischemic stroke.


WWatsford

  • Member
  • Posts: 539
Reply 2 on: Jun 25, 2018
Thanks for the timely response, appreciate it

laurnthompson

  • Member
  • Posts: 334
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

Immunoglobulin injections may give short-term protection against, or reduce severity of certain diseases. They help people who have an inherited problem making their own antibodies, or those who are having certain types of cancer treatments.

Did you know?

Although not all of the following muscle groups are commonly used, intramuscular injections may be given into the abdominals, biceps, calves, deltoids, gluteals, laterals, pectorals, quadriceps, trapezoids, and triceps.

Did you know?

There used to be a metric calendar, as well as metric clocks. The metric calendar, or "French Republican Calendar" divided the year into 12 months, but each month was divided into three 10-day weeks. Each day had 10 decimal hours. Each hour had 100 decimal minutes. Due to lack of popularity, the metric clocks and calendars were ended in 1795, three years after they had been first marketed.

Did you know?

Bisphosphonates were first developed in the nineteenth century. They were first investigated for use in disorders of bone metabolism in the 1960s. They are now used clinically for the treatment of osteoporosis, Paget's disease, bone metastasis, multiple myeloma, and other conditions that feature bone fragility.

Did you know?

Your chance of developing a kidney stone is 1 in 10. In recent years, approximately 3.7 million people in the United States were diagnosed with a kidney disease.

In the communication technique of collaborating, the nurse sends the message that the nurse and pati In the communication technique of collaborating, the nurse sends the message that the nurse and pati
A nurse prepares a client for anesthesia and surgery. A nurse prepares a client for anesthesia and surgery.
Differences between a Nurse Practitioner Differences between a Nurse Practitioner
The effectiveness of patient education The effectiveness of patient education
A medical assistant listening to the patient and physician discuss the patient's care. A medical assistant listening to the patient and physician discuss the patient's care.
The physician uses auscultation to listen to a patient’s heart. The physician uses auscultation to listen to a patient’s heart.
Video: Blood Flow Through the Kidneys

For a complete list of videos, visit our video library