The nurse is preparing a client for coronary artery bypass surgery. What vessel does the nurse know is most commonly used for grafting?

Basilic vein

Gastroepiploic artery

Radial artery

Saphenous vein

Answer and Explanation

The Correct Answer is D

A. Basilic vein: The basilic vein is located in the arm and is not typically used for coronary artery bypass grafting. It is more commonly used for vascular access, such as in arteriovenous fistulas for dialysis.
B. Gastroepiploic artery: The gastroepiploic artery can be used in coronary bypass surgery but is less commonly selected due to its location in the abdomen and the technical challenges associated with harvesting it.
C. Radial artery: The radial artery is sometimes used as a graft, especially when multiple grafts are needed, but it is not the most commonly used vessel. It is often chosen for its muscular wall and long-term patency.
D. Saphenous vein: The saphenous vein, located in the leg, is the most commonly used vessel for coronary artery bypass grafting due to its length, ease of access, and suitability for multiple grafts. It has been a standard choice for decades.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. "Removing the tumor is a primary treatment for colon cancer.": Surgical removal is primary in early-stage cancer, but not when metastasis is widespread. At this point, the focus shifts from curative to palliative care.
B. "Once the tumor is removed, cell pathology can be determined.": Pathology is typically confirmed through prior biopsies. Surgery in advanced cases is not usually done for diagnostic purposes.
C. "Tumor removal will promote comfort.": In metastatic colon cancer, surgery is often palliative, aiming to relieve symptoms such as pain, obstruction, or bleeding. The goal is to enhance quality of life.
D. "This surgery will prevent further tumor growth.": With metastasis to the liver and bone, tumor growth is likely ongoing elsewhere. Surgery may reduce local tumor burden but does not prevent systemic progression.

A. Right extremity comparable in size to left B. No bleeding or bruising noted C. Right extremity pink D. Client denies pain E. Pedal pulse thready

Correct Answer is ["A","C","D"]

Explanation

A. Right extremity comparable in size to left: Reduction in swelling indicates improved venous return and resolution of the thrombus. Symmetry between extremities suggests successful clot dissolution and reduced obstruction in the affected vein.
B. No bleeding or bruising noted: While this is a desirable side effect outcome, it is not a direct measure of thrombolytic effectiveness. Thrombolytics carry bleeding risk, but the absence of bruising doesn’t confirm clot resolution.
C. Right extremity pink: A pink, well-perfused extremity suggests adequate blood flow, which reflects successful reperfusion. This indicates improved circulation after clot breakdown and is a positive therapeutic result.
D. Client denies pain: Pain is a hallmark symptom of DVT due to inflammation and obstruction. Decreased or absent pain after thrombolytic therapy reflects clinical improvement and reduced clot burden.
E. Pedal pulse thready: A thready pulse may indicate decreased perfusion and is not a reassuring finding. Effective thrombolytic therapy should lead to strong, palpable pulses if circulation has improved.

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The nurse is preparing a client for coronary artery bypass surgery. What vessel does the nurse know is most commonly used for grafting?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is ["A","C","D"]

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