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 207 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
Gracias!

frankwu0507

  • Member
  • Posts: 322
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

There are over 65,000 known species of protozoa. About 10,000 species are parasitic.

Did you know?

According to the Migraine Research Foundation, migraines are the third most prevalent illness in the world. Women are most affected (18%), followed by children of both sexes (10%), and men (6%).

Did you know?

In Eastern Europe and Russia, interferon is administered intranasally in varied doses for the common cold and influenza. It is claimed that this treatment can lower the risk of infection by as much as 60–70%.

Did you know?

Every flu season is different, and even healthy people can get extremely sick from the flu, as well as spread it to others. The flu season can begin as early as October and last as late as May. Every person over six months of age should get an annual flu vaccine. The vaccine cannot cause you to get influenza, but in some seasons, may not be completely able to prevent you from acquiring influenza due to changes in causative viruses. The viruses in the flu shot are killed—there is no way they can give you the flu. Minor side effects include soreness, redness, or swelling where the shot was given. It is possible to develop a slight fever, and body aches, but these are simply signs that the body is responding to the vaccine and making itself ready to fight off the influenza virus should you come in contact with it.

Did you know?

One way to reduce acid reflux is to lose two or three pounds. Most people lose weight in the belly area first when they increase exercise, meaning that heartburn can be reduced quickly by this method.

(A) Scratch test; patient is exposed to allergens through a light scratch on the skin; (B) Positive (A) Scratch test; patient is exposed to allergens through a light scratch on the skin; (B) Positive
Treating the pregnant patient Treating the pregnant patient
Preoperative and Postoperative Patient Instructions Preoperative and Postoperative Patient Instructions
Assisting the patient to transfer from the bed or examining table to a wheelchair. Assisting the patient to transfer from the bed or examining table to a wheelchair.
Variations in patient response to drugs Variations in patient response to drugs
Video: Cardiac Cycle (Part 3 of 4)

For a complete list of videos, visit our video library