A client with unstable angina is scheduled for coronary artery bypass grafting (CABG). The client asks the nurse about the purpose of this surgery. How should the nurse respond?
"CABG surgery involves inserting a stent to keep your coronary artery open and improve blood flow to your heart."
"It is a procedure to remove plaque from your coronary arteries and improve blood circulation."
"CABG surgery is a minimally invasive procedure to repair damaged heart valves and improve cardiac function."
"It is a surgical procedure to bypass blocked coronary arteries and restore blood flow to your heart."
The Correct Answer is D
A) This choice is incorrect because inserting a stent is a part of percutaneous coronary intervention (PCI) and not coronary artery bypass grafting (CABG). CABG involves using blood vessels (grafts) to bypass blocked coronary arteries and restore blood flow to the heart.
B) This choice is incorrect because removing plaque from coronary arteries is not the primary purpose of CABG. CABG involves bypassing blocked arteries rather than removing the plaque.
C) This choice is incorrect because repairing damaged heart valves and improving cardiac function is a different surgical procedure, such as valve repair or replacement surgery. CABG does not address heart valve issues.
D) This choice is correct. Coronary artery bypass grafting (CABG) is a surgical procedure that involves taking a healthy blood vessel from another part of the body and grafting it to the blocked coronary artery. The graft bypasses the blockage, restoring blood flow to the heart and improving myocardial oxygen supply. CABG is used to treat significant coronary artery disease and improve cardiac function in clients with unstable angina or myocardial infarction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) This choice is incorrect because while aspirin is important for clients with angina, the priority teaching point is the use of nitroglycerin for chest pain relief during angina episodes.
B) This choice is incorrect because keeping a log of triggers can be helpful for managing angina, but it is not the priority teaching point regarding the immediate relief of chest pain.
C) This choice is incorrect because limiting physical activity to avoid exertion is not the primary management strategy for angina. Moderate exercise, as tolerated, is beneficial for clients with stable angina.
D) This choice is correct. Nitroglycerin is a vasodilator that helps to relax and widen blood vessels, improving blood flow and relieving chest pain during an angina episode. Teaching the client to use nitroglycerin as needed for chest pain relief is a priority in angina management.
Correct Answer is D
Explanation
A) This choice is incorrect because e-cigarettes and vaping are not considered safe alternatives to smoking and are not recommended as a way to quit smoking. They can also pose health risks to the cardiovascular system.
B) This choice is incorrect because gradually decreasing cigarette intake may not be as effective as setting a quit date and quitting smoking altogether.
C) This choice is incorrect because while nicotine replacement therapy (NRT) can be helpful for some individuals in managing cravings during the quitting process, it is not the primary recommendation. Avoiding triggers and setting a quit date are essential strategies for successful smoking cessation.
D) This choice is correct. Setting a quit date is an effective approach to quitting smoking. It allows individuals to mentally prepare for the change and commit to the process. Avoiding situations or triggers that may lead to smoking is also crucial for breaking the habit and preventing relapse.
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