A Patient Returns to the Surgical Nursing Unit Following a Vertical

question 17

Multiple Choice

A patient returns to the surgical nursing unit following a vertical banded gastroplasty with an NG tube to low,intermittent suction and a patient-controlled analgesia (PCA) machine for pain control.During the postoperative care of the patient,the nurse recognizes the need for which of the following?

• A) Promoting return of bowel sounds by discouraging excessive PCA use
• B) Maintaining patency of the NG tube with frequent normal saline irrigations
• C) Supporting the surgical incision during coughing to prevent dehiscence of the wound
• D) Positioning the patient flat in bed on the right side to promote normal stomach emptying

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Definitions:

American Federalism

A form of governance where authority is shared between the central (federal) government and several state governments.

Federal Government Power

The authority held by the federal or national government, as distinguished from state or local governments.

1930s

The decade ranging from the year 1930 to 1939, significant for its economic depression globally known as the Great Depression.

McCulloch v. Maryland

A landmark U.S. Supreme Court decision in 1819 that established the principles of national supremacy and implied powers of the federal government.