NCLEX National Council Licensure Examination(NCLEX-RN) NCLEX-RN Question # 242 Topic 25 Discussion
NCLEX-RN Exam Topic 25 Question 242 Discussion:
Question #: 242
Topic #: 25
The family member of a child scheduled for heart surgery states, “I just don’t understand this open-heart or closed-heart business. I’m so confused! Can you help me understand it?” The nurse explains that patent ductus arteriosus repair is:
A.
Open-heart surgery. The child will be placed on a heart-lung machine while the surgery is being performed.
B.
Closed-heart surgery. It does not require that the child be placed on the heart-lung machine while the surgery is being performed.
C.
A pediatric version of the coronary artery bypass graft surgery performed on adults. It is an open-heart surgery.
D.
A pediatric version of percutaneous transluminal coronary angioplasty performed on adults. It is a closed-heart surgery.
(A) Patent ductus arteriosus repair is a closed-heart procedure. The client is not placed on a heart-lung machine. (B) Patent ductus arteriosus is a ductus arteriosus that does not close shortlyafter birth but remains patent. Repair is a closed-heart procedure involving ligation of the patent ductus arteriosus. (C) Coronary artery bypass graft surgery is an open-heart surgical procedure in which blocked coronary arteries are bypassed using vessel grafts. (D) Percutaneous transluminal coronary angioplasty is a closedheart procedure that improves coronary blood flow by increasing the lumen size of narrowed vessels.
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