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NARA [144]
3 years ago
7

A client comes to the cardiovascular intensive care unit (CVICU) directly after a three-vessel coronary artery bypass graft (CAB

G). The client's orders state "maintain systolic blood pressure >90 but <120." How does this order affect the monitoring of the client's blood pressure?
A. The nurse will assess blood pressure more frequently to ensure that it does not go beyond the ordered limits
B. Monitoring blood pressure once every hour is sufficient for this client
C. Monitoring blood pressure every 4 hours is sufficient for this client
D. The nurse can delegate monitoring of the client's blood pressure to the patient care assistant
Health
1 answer:
sashaice [31]3 years ago
3 0

Answer:

A. The nurse will assess blood pressure more frequently to ensure that it does not go beyond the ordered limits

Explanation:

Systolic blood pressure, also known as “maximal pressure”, is the blood pressure at the time of cardiac systole, in other words, at the time of contraction of the heart, causing the blood to thrust into the arteries. Systolic blood pressure is the pressure exerted by the blood against the artery wall, that is, the more the heart contracts with emphasis, the more the systolic pressure will increase. However, when systolic blood pressure rises too much, it becomes very dangerous that can result in serious patient problems.

For this reason, in the case described above, the nurse should assess blood pressure more often to ensure that she does not exceed the prescribed limits.

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Alex787 [66]

Answer:

B. The client is free from esophagitis and achalasia.

Explanation:

Dysphagia is the medical condition that causes difficulty or absolute impossibility when swallowing solid and liquid foods. When dysphagia exists, the swallowing process becomes very difficult and complicated, and can include serious patients and find alternative ways to maintain basic nutrition.

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When it comes to dysphagia, treatment should always aim first to prevent it from getting worse. Once this is achieved, the original cause is treated and important improvements are sought until the symptoms cease and the problem of evidence of having disappeared.

When an infection dysphagia is diagnosed, the course of action is the controlled use of antibiotics. In cases where dysphagia is a consequence of neurological problems, motor therapy is usually the most efficient resource to allow the patient to overcome it.

The existence of esophageal dysphagia may require medications to reduce heartburn and reflux, treating this gastric condition to prevent stomach rejection of solid and liquid foods consumed.

Also, doctors usually treat cases of <u>achalasia and esophageal</u> stenosis with manual dilation. To achieve this, a suitable endoscope is used with a balloon that widens the esophagus.

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