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Type of surgery in which a balloon is inflated within a coronary artery to break an atheroma and open vessel lumen, improving coronary artery blood flow
What is a Percutaneous Coronary Intervention (PCI)?
A tube shaped device placed in the coronary arteries to keep them open in the treatment of CAD or in a PCI procedure
What is a Stent?
Atherosclerosis impedes coronary blood flow by which of the following mechanisms?
A. Plaques obstruct the vein
B. Plaques obstruct the artery
C. Blood clots form outside the vessel wall
D. Hardened vessels dilate to allow blood to flow through
B. Plaque obstruct the artery
What do you need to assess prior to PCI procedure?
A. Peripheral pulses (bilaterally)...to ensure profusion prior to procedure
B. Make sure informed consent is signed.
C. Allergy to shellfish or iodine.
D. All the above.
D. All the above
What is the number one priority after a PCI procedure?
A. monitor for bleeding
B. make sure patient has a ride home
C. monitor neurological status
D. monitor gag reflex
A. Monitor for bleeding
A paradoxical pulse occurs in a client who had a coronary artery bypass graft (CABG) surgery 2 days ago. Which of the following surgical complications should the nurse suspect?
A. Left-sided heart failure
B. Aortic regurgitation
C. Complete heart block
D. Pericardial tamponade
D. pericardial tamponade
What position will the client be in up to 6 hours after a PCI through femoral access?
A. Prone
B. Semi fowlers
C. Supine
D. Trendelenburg
C. Supine
Why are fluids at priority after a PCI procedure?
To flush out the contrast dye
After open-heart surgery a client develops a temperature of 102*F. The nurse notifies the physician, because elevated temperatures:
A. Increase the cardiac output
B. May indicate cerebral edema
C. May be a forerunner of hemorrhage
D. Are related to diaphoresis and possible chilling
A. Increase the cardiac output
What labs do you want to monitor after a PCI procedure?
A. hgb/hct
B. blood pressure
C. BUN/Creatinine
D. neutrophils
C. BUN & Creatinine
What are the sites that can be used for a PCI? Select all that apply.
A. femoral
B. popliteal
C. carotid
D. radial
E. brachial
A. Femoral
D. Radial
Which signs cause the nurse to suspect cardiac tamponade after a client has cardiac surgery? Check all that apply.
A. Tachycardia
B. Hypertension
C. Increased CVP
D. Increased urine output
E. Jugular vein distention
A. tachycardia
C. increased CVP
E. jugular vein distention
Examples are...
Vasospasm
Serious dysrhythmias (V-tach)
Cardiac arrest
Bleeding at insertion site
Retroperitoneal bleeding
Arterial occlusion
Acute kidney injury
What are the complications associated with PCI procedures?
if rupture, sudden massive swelling and severe pain will be seen.
If small (<2 cm), may be observed and monitored clinically.
occurs when a blood vessel wall is injured, and the blood is contained by the surrounding tissues.
What is pseudoaneurysm?
The nurse is making initial rounds on the nursing unit to assess the condition of assigned clients. Which assessment findings are consistent with infiltration? Select all that apply.
A. Pain and erythema
B. Pallor and coolness
C. Numbness and pain
D. Edema and blanched skin
E. Formation of a red streak and purulent drainage
B. Pallor and coolness
C. Numbness and pain