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AACN ECCO Cardiovascular Exam |Questions with 100% Correct Answers
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AACN ECCO Cardiovascular Exam |Questionswith 100% Correct Answers
A patient is post-op following cardiac surgery with CPB. For which condition should the nurse
assess the patient? - ✔️✔️SIRS
A nurse observed slow capillary refill and cool, clammy skin tow hours post-cardiac surgery. The
patient has HR 122, CVP 6, SvO2 59%, and UO of 0.1 mL/kg/hr. Which orders should the nurse
anticipate? - ✔️✔️TRY: Bolus, Maintain BP
Patient after cardiac surgery has 200 mL/hr bloody drainage from chest tube for the past two
hours. Packed RBCs were given in the OR. Which interventions should the nurse anticipate? -
✔️✔️Control HTN and check coag studies
Following transfemoral TAVR, what medication should the nurse anticipate administering? -
✔️✔️ASA
Patient who underwent transfemoral TAVR is coming to your unit post-procudure. Which care
do you anticipate? - ✔️✔️Monitor for retroperitoneal bleeding
A patient underwent cardiac surgery yesterday. Breath sounds are diminished and bibasilar
crackles are audible. BP is 100/70 (80), HR 92, RR 24, and Temp 38.2/100.8. Which is indicated?
- ✔️✔️Encourage use of incentive spirometer
Which findings in a patient beginning cardiac rehab indicate the patient is tolerating the
activity? - ✔️✔️BP 96/76 before and 107/79 during activity,
SpO2 96% before and 94% during activity
Two hours post-CABG, patient's BP is 132/70 (92), HR 96, CCT output of 350 mL, H&H 7.4 & 22
(L), PLT 118,000 (L), fribrinogen 122 (L), and ionized Ca++4.3. Which interventions should you
anticipate? - ✔️✔️
, Patient is undergoing valve replacement due to endocarditis. Which should the nurse teach the
patient to prepare for a postoperative recovery? - ✔️✔️Need for thromboembolus prophylaxis
Patient underwent CABG with CPB. Which statement about fluid requirements is true? -
✔️✔️Because of SIRS, the need for IV fluids should be expected in the firsts 24 hours
MEDS post-TAVR: - ✔️✔️◘VTE Prophylaxis,
◘Analgesics or local
anesthetics for pain control,
◘ASA and P2Y12 antiplatelets
to ↓ risk of thromboembolic
events
Discharged on: ASA, clopidogrel/plavix, and APAP
Which patient is a candidate for CABG surgery? - ✔️✔️Disease in proximal LAD and another
major coronary artery
More than 70% stenosis of three major coronary arteries
Diabetes, with CAD in several vessels
Post-TAVR hypotension/low MAP of 90/55 (67) with UO 0.4 ml/kg/hr: - ✔️✔️◘Maintain BP at
preprocedure level
◘Administer fluid bolus
POST TAVR: - ✔️✔️Assess recovery from anesthesia.
Monitor vascular access sites.
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