8/9/2019 Answer Key - Medical Surgical
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Renee Camille L. Laguda ANSWER KEY
BSN III
1. B. Stress on the suture line should be aoided. !reent "le#ion
or h$%ere#tension o" the ne&'( and %roide a
small %illo) under the head and ne&'. Ne&' mus&les
hae been a""e&ted during a th$roide&tom$( su%%ort
essential "or &om"ort and in&isional su%%ort.
*. +. In res%onse to the ,uestion o" the &lient( the nurse
needs to %roide brie"( a&&urate in"ormation.
Some&lients )ho hae had gastre&tomies are able to tolerate
three meals a da$ be"ore dis&harge "rom the hos%ital.
-o)eer( "or the maorit$ o" &lients( it ta'es /01* months
be"ore their surgi&all$ redu&ed stoma&h
hasstret&hed enough to a&&ommodate a larger meal.
. B. E#er&ise enhan&es glu&ose u%ta'e( and the
&lient is at ris' "or an insulin rea&tion. Sna&'s
)ith&arboh$drates )ill hel%.
2. +. 3ien the data( %resurgi&al an#iet$ is sus%e&ted.
4he &lient needs an o%%ortunit$ to tal' about
&on&erns
related to surger$ be"ore "urther a&tions 5)hi&h ma$
mas' the an#iet$6.
7. +. !h$si&al assessment guidelines re&ommend listening
"or at least * minutes in ea&h ,uadrant 5and u% to 7minutes(
not at least 7 minutes6.
/. C. 4he best earl$ interention )ould be to in&rease "luid
inta'e( be&ause &onsti%ation is &ommon )hena&tiit$
is de&reased or usual routines hae been interru%ted.
8. C. At about 2908* hours( the &lient must be turned onto
the abdomen to %reent "le#ion &ontra&tures.9. C. A
,ui&' loo' at the &lient &an hel% identi"$ the t$%e and
&ause o" the entilator alarm. +is&onne&tion o" the
tube "rom the entilator( bron&hos%asm( and an#iet$ are some
o" the obious reasons that &ould trigger analarm.
:. B. 4he %riorit$ is to maintain &lient;s sa"et$. With
s$n&o%e and ertigo( the &lient is at high ris' "or
"alling.1
