Exam 15: Cardiovascular Therapeutic Management

Which anticoagulant enhances the activity of antithrombin III and does not require activated partial thromboplastin time (aPTT)or activated clotting time (ACT)monitoring?

The patient is 72 hours postoperative for a coronary artery bypass graft (CABG).The patient's vital signs include temperature 103° F,heart rate 112,respiratory rate 22,blood pressure 134/78 mm Hg,and O₂ saturation 94% on 3L nasal cannula.The nurse suspects that the patient has developed what problem?

Which hemodynamic alteration is the most common cause of a decrease in cardiac output in the postoperative cardiovascular patient?

What is the rationale for administrating a fibrinolytic agent to a patient experiencing acute ST-elevation myocardial infarction (STEMI)?

Which dosage of dopamine results in stimulation of beta1 receptors and increased myocardial contractility?

What is the preferred initial treatment of an acute myocardial infarction?

The possibility of microshock when handling a temporary pacemaker can be minimized by which intervention?

Which signs and symptoms would indicate successful reperfusion after administration of a fibrinolytic agent?

A patient is admitted after a femorotibial bypass graft.What nursing action is critical in the immediate postoperative period?

Which of the following statements regarding beta-blockers is correct?

Identify complications with the above rhythm strip.

Which patients would be a candidate for fibrinolytic therapy?

What parameter must be assessed frequently in the patient with an intraaortic balloon in place?

Why are vasopressors used cautiously in the treatment of critical care patients?

Which calcium channel blocker is beneficial in the treatment of patients with coronary artery disease or ischemic stroke?

Which finding is a reliable indicator of reperfusion after fibrinolytic therapy?

A patient is connected to an external temporary pulse generator.What does the sensitivity control regulate?

When analyzing the electocardiogram (ECG)strip of the patient with a pacemaker,the nurse notices there is a spike before each QRS complex.What is this phenomenon indicative of?

A patient is undergoing ventricular pacing via a transvenous pacing lead.The nurse notes a pacing artifact,but it is not followed by a QRS on the electrocardiogram (ECG)monitoring.Which nursing intervention may correct this situation?

What is the most common complication of fibrinolytic therapy?