This topic contains a solution. Click here to go to the answer

Author Question: The nurse is assessing a patient who is six hours postoperative from coronary artery bypass graft ... (Read 81 times)

jjjetplane

  • Hero Member
  • *****
  • Posts: 556
The nurse is assessing a patient who is six hours postoperative from coronary artery bypass graft (CABG) surgery. The patient's heart rate is 120, blood pressure is 90/50, urine output is decreased, chest tube output is decreased,
 
  heart sounds are muffled, and peripheral pulses are diminished. What action should the nurse take first?
 
  1. Notify the physician immediately.
  2. Recheck vital signs in 15 minutes.
  3. Reposition the patient.
  4. Increase the intravenous fluids.

Question 2

The nurse suspects that a patient experienced a transmural myocardial infarction. What electrocardiogram finding did the nurse use to make this clinical decision?
 
  1. Q wave deepening
  2. ST segment elevation
  3. ST segment depression
  4. P wave inversion



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

lindahyatt42

  • Sr. Member
  • ****
  • Posts: 322
Answer to Question 1

Correct Answer: 1
The patient is exhibiting signs of cardiac tamponade. This is a medical emergency, and the physician must be notified immediately. Delaying the response by waiting 15 minutes or repositioning the patient will be ineffective. No change in intravenous fluids should be made until a physician order is given to do so. Cardiac tamponade is a life-threatening postoperative complication that can lead to cardiogenic shock and possibly cardiac arrest.

Answer to Question 2

Correct Answer: 1
A significant Q wave develops with a transmural infarction, so this also may be called a Q-wave MI. ST segment elevation represents myocardial ischemia, which is reversible by increasing the blood flow to the heart. ST segment depression occurs when muscle ischemia involves only a portion of the heart wall. P wave inversion represents a junctional pacemaker in the heart and is not related to changes that occur with a myocardial infarction.




jjjetplane

  • Member
  • Posts: 556
Reply 2 on: Jun 25, 2018
Gracias!


rleezy04

  • Member
  • Posts: 322
Reply 3 on: Yesterday
:D TYSM

 

Did you know?

People with alcoholism are at a much greater risk of malnutrition than are other people and usually exhibit low levels of most vitamins (especially folic acid). This is because alcohol often takes the place of 50% of their daily intake of calories, with little nutritional value contained in it.

Did you know?

If all the neurons in the human body were lined up, they would stretch more than 600 miles.

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?

Limit intake of red meat and dairy products made with whole milk. Choose skim milk, low-fat or fat-free dairy products. Limit fried food. Use healthy oils when cooking.

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

For a complete list of videos, visit our video library