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…

Question

Options

• AOpen-heart surgery. The child will be placed on a heart-lung machine while the surgery is being
• BClosed-heart surgery. It does not require that the child be placed on the heart-lung machine while
• CA pediatric version of the coronary artery bypass graft surgery performed on adults. It is an open-
• DA pediatric version of percutaneous transluminal coronary angioplasty performed on adults. It is a

• A
  6% (2)
• B
  91% (30)
• C
  3% (1)

Explanation

(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 (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 closed heart procedure that improves coronary blood flow by increasing the lumen size of narrowed vessels.

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