- Email: [email protected]
Examination: Ultrasound Use in Cardiothoracic Surgery
JANUARY 2001, VOL 73,NO 1
Examination ULTRASOUND USE IN CARDIOTHORACIC SURGERY
7.How is CAD treated? a. medication b. medication and invasive procedures c. medication, invasive procedures, and lifestyle changes
1.In 1997, what percent of all deaths were am-ibutable to cardiovascular disease? a. 25.6% b. 41.2% c. 51.4% d. 65.8%
8.Which is an example of an invasive procedure used to treat CAD? a. cardiac catheterization b. coronary bypass surgery c. mitral valve replacement d. aortic valve replacement
2.0f these deaths attributable to cardiovascular disease, what percent were attributable to coronary artery disease (CAD)? a. 29% b. 39% c. 49% d. 59%
%How does the structure of veins differ from arteries? a. They appear to be thin-walled and weak. b. They have similar appearances. c. They appear thick-walled and strong. d. They lack the three layers that comprise arteries.
3.In cardiovascular disease that results in myocardial infarction, which arteries become narrowed by fatty deposits or plaque? a. the coronary arteries b. the aortic and pulmonary arteries c. the femoral and iliac arteries d. the carotid arteries
l a v e i n s are comprised of a. two b. three c. four d. five
4. Plaques that form in the coronary arteries are primarily composed of a. cellular debris and hornocysteine b. lipids and free radicals c. cholesterol and homocysteine d. cholesterol, lipids, and cellular debris
layers.
11.Which substances are found in smaller amounts in veins than in arteries? a. cholesterol, lipids, and cellular debris b. lipids, free radicals, and homocysteine c. collagen, muscle, and elastic tissue d. prostaglandins, clotting factors, and endothelial cells
5.What is the term used for the development of arterial plaque? a. arteriosclerosis b. atherosclerosis c. atherostenosis d. arteriostrenosis
6. What increases the risk of developing CAD? a. smoking, hypertension, and high cholesterol b. obesity, family history of CAD, and diabetes c. smoking, hypertension, high cholesterol, obesity, family history of CAD, and diabetes d. smoking, hypotension, high cholesterol, family history of CAD, and diabetes
1 2 U n d e r normal conditions veins are quite durable and strong. a. true b. false 1aEndothelial cells comprise what layer of a vein? a. tunica intima b. tunica media c. tunica adventitia
167 AORN JOURNAL
JANUARY 2001, VOL 73, NO 1
a. greater saphenous vein b. lesser saphenous vein c. radial artery d. intermediate or median antebrachial vein of the forearm
1 A T h e intima of a vein is a simple structure but is biologically active and mediates many blood clotting activities. a me b. false 1 L W h a t are the biologically active substances produced by veins? a. fibrinolysis activators and prostaglandins b. platelet aggregators c. clotting factor VIII d. fibrinolysis activators, prostaglandins, clotting factor VIII 16.The outer supportive layer of a vein is called a. the tunica intima b. the tunica media c. the tunica adventitia
=In
=What test is used to identify the arterial dominance of the patient’s hand? a. Wasserman’s test b. von Loebel’s test c. Allen’s test d. DeBakey’s test
=In 17.What is the function of the elastic layer prominent in larger veins? a. to produce fibrinolysis activators b. to produce clotting factors c. to provide contractility d. to accommodate changes in venous volume 1bVein wall nourishment is provided by the vasovasora, which enters the vein through which layer? a. tunica intima b. tunica media c. tunica adventitia 19.The normal, thin-walled construction of veins permits compression in response to muscular contraction and distention to compensate for volume changes. a. true b. false =The fragility and lack of surrounding tissue support renders veins vulnerable to increased blood volumeand . a. venous hypotension b. venous hypertension c. venous thrombosis d. venous stasis
what situation would the surgeon decide that the radial artery was not a good choice for a CABG? a. The patient is ulnar dominant. b. The patient is radial dominant.
older patients undergoing cardiovascular procedures there is a risk of due to unrecognized carotid disease. a. arrhythmias b. cardiac arrest c. stroke d. vascular collapse
=When occlusive disease of the ascending aorta is present, it takes the form of atherosclerotic lesions with associated fronds known as . a. plaques b. atheromas c. emboli d. atherosclerotic ulcers 26.Electrocardiogram changes associated with CAD include a. lengthened QT intervals and inverted p wave. b. elevated ST segments and elevated T wave. c. depressed ST segments and depressed T wave. d. depressed or elevated ST segments and elevated T wave. =.Where do patients with CAD commonly complain of pain? a. chest, jaw, neck, arms, and back b. face, chest, left m,and back c. epigastric, chest, back, and arms d. neck, left arm, epigastric, and back
21.The
is a favorite choice for coronary artery bypass grafting (CABG) procedures because of its accessibility and inherent strength.
=Patients
undergoing a CABG procedure have a
-possibility of stroke or death.
168 AORN JOURNAL
JANUARY 2001, VOL 73, NO 1
a. 1%to 4% b. 2%to 5% c. 5% to 7% d. 7% to 10% =One of the uses of cardiovascular surgery ultrasound is to examine the patient’s neck to rule out carotid vessel problems that could result in stroke. a. true b. false
condition would be most at risk for developing infectious complications? a. hypertension b. diabetes c. Crohn’s disease d. myocardial infarct
=To
reduce the risk of infection the nurse can a. Implement strict aseptic technique, use proper skin preparation techniques, and control OR traffic. b. Recognize and report deviations in diagnostic study results and identify baseline cardiac function. c. Monitor body temperature and evaluate patient’s response to surgery. d. Perform venipuncture and establish IV line access, administer IV fluid therapy.
=Why have ultrasound use and minimally invasive vein harvesting techniques been introduced? a. to increase reimbursement b. to reduce morbidity c. to increase surgical time d. to increase patient complaints
31.Traditional vein harvesting techniques that result in large wounds can result in major complications, such as skin loss or purulent infections, and a 1% to 5% morbidity for patients. a. true b. false
32 Current noninvasive venous testing methods provide less than precise information regarding the anatomic and physiologic changes discovered in the venous system. a. true b. false =The use of ultrasound for determining blood flow depends on which principle? a. the direct light principle b. Manle-Sommer principle c. Doppler principle d. Hunter’s principle =Vascular
testing ultrasound is used to determine and a. venous blood flow/topographic anatomy b. arterial blood flow/physiology c. venous sizehotential for complications if used for a graft d. arterial size/potential for complications if used for a graft
=Patients undergoing a CABG procedure are at risk for infection related to the procedure and the invasive monitoring lines. Patients with what
=.What can the nurse do to reduce the risk of fluid and electrolyte imbalance for a patient undergoing a CABG procedure. a. Implement protective measures to prevent injury and use equipment within safe parameters. b. Identify baseline cardiac functioning and evaluate postoperative cardiac function. c. Administer blood product therapy as prescribed and evaluate postoperative tissue perfusion. d. Assess preoperative status and report deviations, monitor physiologic parameters during the procedure, and perform frequent blood testing. =Surgical team members must assess the patient for previous surgical procedures that might affect the harvesting of conduits and for the use of cardiac, antiarrhythmic, or anticoagulant medications, and antiplatelet agents. a. true b. false =What can affect the patient’s self-confidenceabout postoperative recovery? a. physiologic and psychologic factors b. emotional factors c. physical condition d. lack of knowledge about the procedure =Leg
169 AORN JOURNAL
infections, a known complication of
JANUARY 2001, VOL 73, NO 1
b. 1% and 24%. c. 5% and 25%. d. 10% and 15%.
saphenous vein harvesting, occur at a rate between a. 1%and 10%. AORN, Association of perioperative Registered Nurses, is accredited as a provider of continuing education in nursing by the Americon Nurses Credenfialing Center's (ANCC's) Cornmission on Accreditation. AORN recognizes this activify as continuing education for registered nurses. This recognition does not imply that AORN or the ANCC's Commission on Accreditation approves or endorses any product included in the activity, AORN maintains the following state board of nursing provider numbers: Alabama ABNP0075, Californio CEP13079, Florida FBN 2296, ond Kansas
L TO 1 14-0316. Check with your state board of nursing for occeptabilih of educatian octivih far relicensure. Professional nurses are invited to submit manuscripts for fhe Home Study Program. Monuscripts or queries should be sent to Editor, AORN Journal, 2 I 70 S Parker Rd, Suite 300, Denver, CO 80231571 I . As with all manuscripts sent to the Journal, popers submitted for Home Study Programs should not have been previouslypublished or submiffed simultoneously to any other publication.
Younger Pregnant Women More Apt to Use Alcohol, Tobacco Younger women are less likely to stop using alcohol and tobacco during pregnancy, according to an Oct 3 1, 2000, press release from the Centers for Disease Control and Prevention (CDC). Overall, combined tobacco and alcohol use among reproductive-aged and pregnant women decreased in the late 1980s but leveled off in the 1990s. Based on 10 years of data compiled by the CDC's Behavior Risk Factor Surveillance System, younger women are as likely as older women to use both substances and are less likely to stop their use during pregnancy. Among women ages 18 to 20 who were pregnant, combined use of tobacco and alcohol remained unchanged at 4% during the 1990s. Among women ages 18 to 20 who were not pregnant, use of both substances increased from 13.5% to 13.7%.In 1997, only 74% of pregnant women in this age group stopped using alcohol and tobacco, compared with 83% of older pregnant women, according to the release. From 1987 to 1997, the percentage of women who said they stopped using tobacco and alcohol because of a pregnancy
increased slightly from 70% to 82%. Pregnant women who used both substances were more likely to report that they stopped using alcohol (74%) than tobacco (52%),according to the release. Other factors associated with joint use of both substances were education and marital status. Joint use of alcohol and tobacco was more common among pregnant and nonpregnant women who had less than a high school education and who were not married. Among nonpregnant women, nonwhite race and unemployment were risk factors for using both alcohol and tobacco, according to the release. Adverse effects for children of women who use alcohol and tobacco include fetal alcohol syndrome, birth defects, growth deficits, developmental disabilities, and learning disorders. CDC Data Show Younger Women Less Likely to Stop Using Alcohol and Tobacco During Pregnancy (news release, Atlanta: Centers for Disease Control and Prevenffon, Ucf 3 1, 2000) 1-2.Available from http:/!.cdc.gov/od/oc /medidpressrel/r2k 1 101.htm. Accessed 3 Nov 2000.
170 AORN JOURNAL
JANUARY 2001, VOL 73, NO 1
Answer Sheet
P
ULTRASOUND USE IN CARDIOTHORACIC SURGERY
lease fill out the application and answer form on this page and the evaluation form on the back of this page. Tear the page out of the Joui-nu1or make photocopies and mail to: AORN Customer Service c/o Home Study Program 2170 S Parker Rd, Suite 300 Denver, CO 8023 1-5711 Or fax with credit card information to (303) 750-3212
lDfSS Number
I
0000000000 0000000000 0000000000 0000000000 0000000000 0000000000 0000000000 0000000000 0000000000 o mmwa00e
A score of 70% correct is required for credit.
Event # 01044 Session # 6228 Contact hours: 3.5 Fee: Members $17.50; Nonmembers $35
N
2 0
Session Number 0000000000 0000000000 0000000000 0000000000
Program offered January 2001. The deadline for this program is Jan 30,2004. 1. Record your identification number in the appropriate section below. 2. Completely darken the space that indicates your answer to the examination starting with question one. 3. Record the time required to complete the program
Mark only one answer per question.
4. Enclose fee if information is mailed.
AORN (ID) # Name Address City State
Zip RN license # State Phone number ( ) If nonmember, please provide Social Security number Fee enclosed or bill the credit card indicated MasterCard Visa American Express Card ## Expiration date Signature (for credit card authonzation)
171 AORN JOURNAL
100000 200000 300000 400000 500000 600000 700000 800000 900000 10000 0 0 ll00000 1200000 1300000
Zl00000 22 0 000 0 2300000 24 0 0000 2500000 2600000 27 0 0 000 2800000 2900000 30 0 0 00 0 3100000 32 0 0 000 3300000
I4 00000 I500000 I6 0 0 0 0 0 1700000 1800000 1900000
34 00000 3500000 3600000 3700000 38 0 0 00 0
3900000
JANUARY 2001, VOL 73,NO 1
Learner Evaluation ULTRASOUND USE IN CARDIoTnORACIC SURGERY
The following evaluation is used to determine the extent to which this Home Study Program met your leaming needs. Rate the following items on a scale of 1 to 5. To what extent were the following objectives of this Home Study Program achieved? (1) Discuss cardiovascular disease. ( 2 ) Describe the anatomy and physiology of the vascular system. (3) Discuss the use of ultrasound in coronary artery bypass grafting (CABG)procedures. (4) Describe the care of the patient undergoing a CABG procedure.
Session Number 0000000000~ 0000000000 0000000000 0000000000
(Low) (High) (Low) (High) 100000 200000 300000 400000 500000 600000 700000 800000 900000 1000000 1100000 I200000 1300000 1400000 1500000
'00000 00000 00000 00000 00000 00000 A 1 ,00000 !4' 0 0 0 0 0 1D 2 ~00000 15; 0 0 0 0 0 2s100000 1!7' 0 0 0 0 0 2!0;0@@00 1:9'00000
I I I I
?
3'0~00000
PURPOSWGOAL
To educate the perioperative nurse about the use of ultrasound in cardiothoracic surgery. CowcENl
( 5 ) Did this article increase your knowledge of
the subject matter? (6) Was the content clear and organized? (7) Did this article facilitate learning? (8) Were your individual objectives met? (9) How well did the objectives relate to the overall purpose/goal? TEST QUESTIONWANbWaRS
(10) Were they reflective of the content? (11) Were they easy to understand? (12) Did they address important points? What other topics would you like to see addressed in a future Home Study Program? Would you be interested or do you know someone who would be interested in writing an article on this topic? Topic(s):
Author names and addresses:
172 AORN JOURNAL
Examination ULTRASOUND USE IN CARDIOTHORACIC SURGERY
7.How is CAD treated? a. medication b. medication and invasive procedures c. medication, invasive procedures, and lifestyle changes
1.In 1997, what percent of all deaths were am-ibutable to cardiovascular disease? a. 25.6% b. 41.2% c. 51.4% d. 65.8%
8.Which is an example of an invasive procedure used to treat CAD? a. cardiac catheterization b. coronary bypass surgery c. mitral valve replacement d. aortic valve replacement
2.0f these deaths attributable to cardiovascular disease, what percent were attributable to coronary artery disease (CAD)? a. 29% b. 39% c. 49% d. 59%
%How does the structure of veins differ from arteries? a. They appear to be thin-walled and weak. b. They have similar appearances. c. They appear thick-walled and strong. d. They lack the three layers that comprise arteries.
3.In cardiovascular disease that results in myocardial infarction, which arteries become narrowed by fatty deposits or plaque? a. the coronary arteries b. the aortic and pulmonary arteries c. the femoral and iliac arteries d. the carotid arteries
l a v e i n s are comprised of a. two b. three c. four d. five
4. Plaques that form in the coronary arteries are primarily composed of a. cellular debris and hornocysteine b. lipids and free radicals c. cholesterol and homocysteine d. cholesterol, lipids, and cellular debris
layers.
11.Which substances are found in smaller amounts in veins than in arteries? a. cholesterol, lipids, and cellular debris b. lipids, free radicals, and homocysteine c. collagen, muscle, and elastic tissue d. prostaglandins, clotting factors, and endothelial cells
5.What is the term used for the development of arterial plaque? a. arteriosclerosis b. atherosclerosis c. atherostenosis d. arteriostrenosis
6. What increases the risk of developing CAD? a. smoking, hypertension, and high cholesterol b. obesity, family history of CAD, and diabetes c. smoking, hypertension, high cholesterol, obesity, family history of CAD, and diabetes d. smoking, hypotension, high cholesterol, family history of CAD, and diabetes
1 2 U n d e r normal conditions veins are quite durable and strong. a. true b. false 1aEndothelial cells comprise what layer of a vein? a. tunica intima b. tunica media c. tunica adventitia
167 AORN JOURNAL
JANUARY 2001, VOL 73, NO 1
a. greater saphenous vein b. lesser saphenous vein c. radial artery d. intermediate or median antebrachial vein of the forearm
1 A T h e intima of a vein is a simple structure but is biologically active and mediates many blood clotting activities. a me b. false 1 L W h a t are the biologically active substances produced by veins? a. fibrinolysis activators and prostaglandins b. platelet aggregators c. clotting factor VIII d. fibrinolysis activators, prostaglandins, clotting factor VIII 16.The outer supportive layer of a vein is called a. the tunica intima b. the tunica media c. the tunica adventitia
=In
=What test is used to identify the arterial dominance of the patient’s hand? a. Wasserman’s test b. von Loebel’s test c. Allen’s test d. DeBakey’s test
=In 17.What is the function of the elastic layer prominent in larger veins? a. to produce fibrinolysis activators b. to produce clotting factors c. to provide contractility d. to accommodate changes in venous volume 1bVein wall nourishment is provided by the vasovasora, which enters the vein through which layer? a. tunica intima b. tunica media c. tunica adventitia 19.The normal, thin-walled construction of veins permits compression in response to muscular contraction and distention to compensate for volume changes. a. true b. false =The fragility and lack of surrounding tissue support renders veins vulnerable to increased blood volumeand . a. venous hypotension b. venous hypertension c. venous thrombosis d. venous stasis
what situation would the surgeon decide that the radial artery was not a good choice for a CABG? a. The patient is ulnar dominant. b. The patient is radial dominant.
older patients undergoing cardiovascular procedures there is a risk of due to unrecognized carotid disease. a. arrhythmias b. cardiac arrest c. stroke d. vascular collapse
=When occlusive disease of the ascending aorta is present, it takes the form of atherosclerotic lesions with associated fronds known as . a. plaques b. atheromas c. emboli d. atherosclerotic ulcers 26.Electrocardiogram changes associated with CAD include a. lengthened QT intervals and inverted p wave. b. elevated ST segments and elevated T wave. c. depressed ST segments and depressed T wave. d. depressed or elevated ST segments and elevated T wave. =.Where do patients with CAD commonly complain of pain? a. chest, jaw, neck, arms, and back b. face, chest, left m,and back c. epigastric, chest, back, and arms d. neck, left arm, epigastric, and back
21.The
is a favorite choice for coronary artery bypass grafting (CABG) procedures because of its accessibility and inherent strength.
=Patients
undergoing a CABG procedure have a
-possibility of stroke or death.
168 AORN JOURNAL
JANUARY 2001, VOL 73, NO 1
a. 1%to 4% b. 2%to 5% c. 5% to 7% d. 7% to 10% =One of the uses of cardiovascular surgery ultrasound is to examine the patient’s neck to rule out carotid vessel problems that could result in stroke. a. true b. false
condition would be most at risk for developing infectious complications? a. hypertension b. diabetes c. Crohn’s disease d. myocardial infarct
=To
reduce the risk of infection the nurse can a. Implement strict aseptic technique, use proper skin preparation techniques, and control OR traffic. b. Recognize and report deviations in diagnostic study results and identify baseline cardiac function. c. Monitor body temperature and evaluate patient’s response to surgery. d. Perform venipuncture and establish IV line access, administer IV fluid therapy.
=Why have ultrasound use and minimally invasive vein harvesting techniques been introduced? a. to increase reimbursement b. to reduce morbidity c. to increase surgical time d. to increase patient complaints
31.Traditional vein harvesting techniques that result in large wounds can result in major complications, such as skin loss or purulent infections, and a 1% to 5% morbidity for patients. a. true b. false
32 Current noninvasive venous testing methods provide less than precise information regarding the anatomic and physiologic changes discovered in the venous system. a. true b. false =The use of ultrasound for determining blood flow depends on which principle? a. the direct light principle b. Manle-Sommer principle c. Doppler principle d. Hunter’s principle =Vascular
testing ultrasound is used to determine and a. venous blood flow/topographic anatomy b. arterial blood flow/physiology c. venous sizehotential for complications if used for a graft d. arterial size/potential for complications if used for a graft
=Patients undergoing a CABG procedure are at risk for infection related to the procedure and the invasive monitoring lines. Patients with what
=.What can the nurse do to reduce the risk of fluid and electrolyte imbalance for a patient undergoing a CABG procedure. a. Implement protective measures to prevent injury and use equipment within safe parameters. b. Identify baseline cardiac functioning and evaluate postoperative cardiac function. c. Administer blood product therapy as prescribed and evaluate postoperative tissue perfusion. d. Assess preoperative status and report deviations, monitor physiologic parameters during the procedure, and perform frequent blood testing. =Surgical team members must assess the patient for previous surgical procedures that might affect the harvesting of conduits and for the use of cardiac, antiarrhythmic, or anticoagulant medications, and antiplatelet agents. a. true b. false =What can affect the patient’s self-confidenceabout postoperative recovery? a. physiologic and psychologic factors b. emotional factors c. physical condition d. lack of knowledge about the procedure =Leg
169 AORN JOURNAL
infections, a known complication of
JANUARY 2001, VOL 73, NO 1
b. 1% and 24%. c. 5% and 25%. d. 10% and 15%.
saphenous vein harvesting, occur at a rate between a. 1%and 10%. AORN, Association of perioperative Registered Nurses, is accredited as a provider of continuing education in nursing by the Americon Nurses Credenfialing Center's (ANCC's) Cornmission on Accreditation. AORN recognizes this activify as continuing education for registered nurses. This recognition does not imply that AORN or the ANCC's Commission on Accreditation approves or endorses any product included in the activity, AORN maintains the following state board of nursing provider numbers: Alabama ABNP0075, Californio CEP13079, Florida FBN 2296, ond Kansas
L TO 1 14-0316. Check with your state board of nursing for occeptabilih of educatian octivih far relicensure. Professional nurses are invited to submit manuscripts for fhe Home Study Program. Monuscripts or queries should be sent to Editor, AORN Journal, 2 I 70 S Parker Rd, Suite 300, Denver, CO 80231571 I . As with all manuscripts sent to the Journal, popers submitted for Home Study Programs should not have been previouslypublished or submiffed simultoneously to any other publication.
Younger Pregnant Women More Apt to Use Alcohol, Tobacco Younger women are less likely to stop using alcohol and tobacco during pregnancy, according to an Oct 3 1, 2000, press release from the Centers for Disease Control and Prevention (CDC). Overall, combined tobacco and alcohol use among reproductive-aged and pregnant women decreased in the late 1980s but leveled off in the 1990s. Based on 10 years of data compiled by the CDC's Behavior Risk Factor Surveillance System, younger women are as likely as older women to use both substances and are less likely to stop their use during pregnancy. Among women ages 18 to 20 who were pregnant, combined use of tobacco and alcohol remained unchanged at 4% during the 1990s. Among women ages 18 to 20 who were not pregnant, use of both substances increased from 13.5% to 13.7%.In 1997, only 74% of pregnant women in this age group stopped using alcohol and tobacco, compared with 83% of older pregnant women, according to the release. From 1987 to 1997, the percentage of women who said they stopped using tobacco and alcohol because of a pregnancy
increased slightly from 70% to 82%. Pregnant women who used both substances were more likely to report that they stopped using alcohol (74%) than tobacco (52%),according to the release. Other factors associated with joint use of both substances were education and marital status. Joint use of alcohol and tobacco was more common among pregnant and nonpregnant women who had less than a high school education and who were not married. Among nonpregnant women, nonwhite race and unemployment were risk factors for using both alcohol and tobacco, according to the release. Adverse effects for children of women who use alcohol and tobacco include fetal alcohol syndrome, birth defects, growth deficits, developmental disabilities, and learning disorders. CDC Data Show Younger Women Less Likely to Stop Using Alcohol and Tobacco During Pregnancy (news release, Atlanta: Centers for Disease Control and Prevenffon, Ucf 3 1, 2000) 1-2.Available from http:/!.cdc.gov/od/oc /medidpressrel/r2k 1 101.htm. Accessed 3 Nov 2000.
170 AORN JOURNAL
JANUARY 2001, VOL 73, NO 1
Answer Sheet
P
ULTRASOUND USE IN CARDIOTHORACIC SURGERY
lease fill out the application and answer form on this page and the evaluation form on the back of this page. Tear the page out of the Joui-nu1or make photocopies and mail to: AORN Customer Service c/o Home Study Program 2170 S Parker Rd, Suite 300 Denver, CO 8023 1-5711 Or fax with credit card information to (303) 750-3212
lDfSS Number
I
0000000000 0000000000 0000000000 0000000000 0000000000 0000000000 0000000000 0000000000 0000000000 o mmwa00e
A score of 70% correct is required for credit.
Event # 01044 Session # 6228 Contact hours: 3.5 Fee: Members $17.50; Nonmembers $35
N
2 0
Session Number 0000000000 0000000000 0000000000 0000000000
Program offered January 2001. The deadline for this program is Jan 30,2004. 1. Record your identification number in the appropriate section below. 2. Completely darken the space that indicates your answer to the examination starting with question one. 3. Record the time required to complete the program
Mark only one answer per question.
4. Enclose fee if information is mailed.
AORN (ID) # Name Address City State
Zip RN license # State Phone number ( ) If nonmember, please provide Social Security number Fee enclosed or bill the credit card indicated MasterCard Visa American Express Card ## Expiration date Signature (for credit card authonzation)
171 AORN JOURNAL
100000 200000 300000 400000 500000 600000 700000 800000 900000 10000 0 0 ll00000 1200000 1300000
Zl00000 22 0 000 0 2300000 24 0 0000 2500000 2600000 27 0 0 000 2800000 2900000 30 0 0 00 0 3100000 32 0 0 000 3300000
I4 00000 I500000 I6 0 0 0 0 0 1700000 1800000 1900000
34 00000 3500000 3600000 3700000 38 0 0 00 0
3900000
JANUARY 2001, VOL 73,NO 1
Learner Evaluation ULTRASOUND USE IN CARDIoTnORACIC SURGERY
The following evaluation is used to determine the extent to which this Home Study Program met your leaming needs. Rate the following items on a scale of 1 to 5. To what extent were the following objectives of this Home Study Program achieved? (1) Discuss cardiovascular disease. ( 2 ) Describe the anatomy and physiology of the vascular system. (3) Discuss the use of ultrasound in coronary artery bypass grafting (CABG)procedures. (4) Describe the care of the patient undergoing a CABG procedure.
Session Number 0000000000~ 0000000000 0000000000 0000000000
(Low) (High) (Low) (High) 100000 200000 300000 400000 500000 600000 700000 800000 900000 1000000 1100000 I200000 1300000 1400000 1500000
'00000 00000 00000 00000 00000 00000 A 1 ,00000 !4' 0 0 0 0 0 1D 2 ~00000 15; 0 0 0 0 0 2s100000 1!7' 0 0 0 0 0 2!0;0@@00 1:9'00000
I I I I
?
3'0~00000
PURPOSWGOAL
To educate the perioperative nurse about the use of ultrasound in cardiothoracic surgery. CowcENl
( 5 ) Did this article increase your knowledge of
the subject matter? (6) Was the content clear and organized? (7) Did this article facilitate learning? (8) Were your individual objectives met? (9) How well did the objectives relate to the overall purpose/goal? TEST QUESTIONWANbWaRS
(10) Were they reflective of the content? (11) Were they easy to understand? (12) Did they address important points? What other topics would you like to see addressed in a future Home Study Program? Would you be interested or do you know someone who would be interested in writing an article on this topic? Topic(s):
Author names and addresses:
172 AORN JOURNAL