CARDIAC

Question 1

Discharge instructions for CABG:

Answer 1

1. Encourage a daily shower. Surgical incisions should not be soaked to have lotion or creams applied to them.
2. No lifting objects >5lbs, until approved by HCP.
3. No driving for 4-6 weeks, or until approved by HCP.
4. If client can walk one block or climb stairs w/o symptoms, usually safe to resume sex.

Question 2

Signs and symptoms of cardiac tamponade:

*pericardial effusion = risk for development of cardiac tamponade

Answer 2

• Hypotension with narrowed pulse pressure
• Muffled or distant heart tones
• Jugular vein distension
• Pulsus paradoxus
• Dyspnea/tachypnea
• Tachycardia
• Weak, thready pulse

Question 3

Best place to hear a murmur for a client with mitral valve stenosis?

Answer 3

Best heard at the apex of the heart; produces a diastolic murmur.

Question 4

Clinical manifestations of right-sided heart failure:

Answer 4

1. Peripheral and dependent edema; especially in the lower extremities
2. JVD
3. Increased abdominal girth
4. Hepatomegaly, splenomegaly

Question 5

Left sided heart failure manifestations:

Answer 5

Orthopnea, paroxysmal nocturnal dyspnea, and crackles in the lung bases, pulmonary edema