What procedure uses grafting to bypass obstructed vessels in the heart?
a. Median sternotomy
b. Anterolateral thoracotomy
c. Mitral valve replacement
d. Coronary artery bypass graft (CABG)
ANS: D
Coronary artery bypass grafting (CABG) can be single or multiple. The obstructed vessels are replaced or bypassed with the patient's own harvested veins or other grafting material if the patient's veins are poor.
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Symptoms of CN II damage include
a. Loss of ability to smell b. Tongue weakness and deviation with protrusion c. Impaired hearing and dizziness d. Altered visual acuity
You are dispatched to the residence of an Asian family for a child with a high fever. When you assess the child, you note that he has numerous red marks on his back. The child's parents explain that these marks represent coining—a traditional Asian healing practice in which hot coins are rubbed on the back. You should:
A. advise the child's parents that this is a harmful practice and is considered a form of child abuse in the United States. B. acknowledge and respect this practice as a cultural belief, but advise the child's parents that it has no healing power. C. document this on your patient care report and advise the emergency department staff of what the child's parents told you. D. advise the emergency department physician that you feel as though the child was intentionally abused by his parents.