MED SURG 201 Medical Surgical Final
Exam- Questions and Answers; West
Coast University
,FINAL EXAM PASADO
4. A cpatient cwho cwas cadmitted cto cthe chospital cwith chyperglycemia cand cnewly cdiagnosed
cdiabetes cmellitus cis cscheduled cfor cdischarge cthe csecond cday cafter cadmission. cWhen
cimplementing cpatient cteaching, cwhat cis cthe cpriority caction cforthe cnurse?
a. Instruct cabout cthe cincreased crisk cfor ccardiovascular cdisease.
b. Provide cdetailed cinformation cabout cdietary ccontrol cof cglucose.
c. Teach cglucose cself-monitoring cand cmedication cadministration.
d. Give cinformation cabout cthe ceffects cof cexercise con cglucose
ccontrol. cANS: cC
When ctime cis climited, cthe cnurse cshould cfocus con cthe cpriorities cof cteaching. cIn cthis
csituation, cthe cpatient cshould cknow chow cto ctest cblood cglucose cand cadminister cmedications
cto ccontrol cglucose clevels. cThe cpatient cwill cneed cfurther cteaching cabout cthe crole cof cdiet,
cexercise, cvarious cmedications, cand cthe cmany cpotential ccomplications cof cdiabetes, cbut cthese
ctopics ccan cbe caddressed cthrough cplanning cfor cappropriate creferrals.
14. A c75-year-old cpatient cis cadmitted cfor cpancreatitis. cWhich ctool cwould cbe cthe cmost
cappropriate cfor cthe cnurse cto cuse cduring cthe cadmission cassessment?
a. Drug cAbuse cScreening cTest c(DAST-10)
b. Clinical cInstitute cWithdrawal cAssessment cof cAlcohol cScale, cRevised c(CIWA-Ar)
c. Screening cTest-Geriatric cVersion c(SMAST-G)
d. Mini-Mental cState
cExamination cANS: cC
Because cthe cabuse cof calcohol cis ca ccommon cfactor cassociated cwith cthe cdevelopment cof
cpancreatitis, cthe cfirst cassessment cstep cis cto cscreen cfor calcohol cuse cusing ca cvalidated
cscreening cquestionnaire. cThe cSMAST-G cis ca cshort-form calcoholism cscreening cinstrument
ctailored cspecifically cto cthe cneeds cof cthe colder cadult. cIf cthe cpatient cscores cpositively con cthe
cSMAST-G, cthen cthe cCIWA-Ar cwould cbe ca cuseful ctool cfor cdetermining ctreatment. cThe
cDAST-10 cprovides cmore cgeneral cinformation cregarding csubstance cuse. cThe cMini-Mental
cState cExamination cis cused cto cscreen cfor ccognitive cimpairment.
1. The csister cof ca cpatient cdiagnosed cwith cBRCA cgene–related cbreast ccancer casks cthe
cnurse, c“Do cyou cthink cI cshould cbe ctested cfor cthe cgene?” cWhich cresponse cby cthe cnurse
cis cmost cappropriate?
a. “In cmost ccases, cbreast ccancer cis cnot ccaused cby cthe cBRCA cgene.”
b. “It cdepends con chow cyou cwill cfeel cif cthe ctest cis cpositive cfor cthe cBRCA cgene.”
c. “There care cmany cthings cto cconsider cbefore cdeciding cto chave cgenetic ctesting.”
d. “You cshould cdecide cfirst cwhether cyou care cwilling cto chave ca cbilateral
cmastectomy.” cANS: cC
Although cpresymptomatic ctesting cfor cgenetic cdisorders callows cpatients cto ctake caction c(such
cas cmastectomy) cto cprevent cthe cdevelopment cof csome cgenetically ccaused cdisorders, cpatients
calso cneed cto cconsider cthat ctest cresults cin ctheir cmedical crecord cmay caffect cinsurance,
cemployability, cetc.
Telling ca cpatient cthat ca cdecision cabout cmastectomy cshould cbe cmade cbefore ctesting cimplies
cthat cthe cnurse chas cmade ca cjudgment cabout cwhat cthe cpatient cshould cdo cif cthe ctest cis
cpositive. cAlthough cthe cpatient cmay cneed cto cthink cabout cher creaction cif cthe ctest cis cpositive,
cother cissues c(e.g., cinsurance) calso cshould cbe cconsidered. cAlthough cmost cbreast ccancers care
cnot crelated cto cBRCA cgene cmutations, cthe cpatient cwith ca cBRCA cgene cmutation chas ca
cmarkedly cincreased crisk cfor cbreast ccancer.
,7. The cnurse cin cthe coutpatient cclinic chas cobtained chealth chistories cfor cthese cnew cpatients.
cWhich cpatient cmay cneed creferral cfor cgenetic ctesting?
a. 35-year-old cpatient cwhose cmaternal cgrandparents cdied cafter cstrokes cat cages c90 cand c96
b. 18-year-old cpatient cwith ca cpositive cpregnancy ctest cwhose cfirst cchild chas ccerebral cpalsy
c. 34-year-old cpatient cwho chas ca csibling cwith cnewly cdiagnosed cpolycystic ckidney cdisease
d. 50-year-old cpatient cwith ca chistory cof ccigarette csmoking cwho cis ccomplaining cof
cdyspnea cANS: cC
The cadult cform cof cpolycystic ckidney cdisease cis autosomal
can dominant disorder and cfrequently cit cis
asymptomatic cuntil cthe cpatient cis colder. cPresymptomatic ctesting cwill cgive cthe cpatient cinformation
cthat cwill cbe cuseful cin cguiding clifestyle cand cchildbearing cchoices. cThe cother cpatients cdo cnot chave
cany cindication cof cgenetic cdisorders cor cneed cfor cgenetic ctesting.
14. An cadolescent cpatient cseeks ccare cin cthe cemergency cdepartment cafter csharing cneedles
cforheroin cinjection cwith ca cfriend cwho chas chepatitis cB. cTo cprovide cimmediate cprotection
cfrom cinfection, cwhat cmedication cwill cthe cnurse cadminister?
a. Corticosteroids
b. Gamma cglobulin
c. Hepatitis cB cvaccine
d. Fresh cfrozen
cplasma cANS: cB
The cpatient cshould cfirst creceive cantibodies cfor chepatitis cB cfrom cinjection cof cgamma
cglobulin. cThe chepatitis cB cvaccination cseries cshould cbe cstarted cto cprovide cactive cimmunity.
cFresh cfrozen cplasma cand ccorticosteroids cwill cnot cbe ceffective cin cpreventing chepatitis cB cin
cthe cpatient.
6. A cpatient cwho cis cdiagnosed cwith ccervical ccancer cthat cis cclassified cas cTis, cN0, cM0 casks
cthe cnurse cwhat cthe cletters cand cnumbers cmean. cWhich cresponse cby cthe cnurse cis cmost
cappropriate?
a. “The ccancer cinvolves conly cthe ccervix.”
b. “The ccancer ccells clook calmost clike cnormal ccells.”
c. “Further ctesting cis cneeded cto cdetermine cthe cspread cof cthe ccancer.”
d. “It cis cdifficult cto cdetermine cthe coriginal csite cof cthe ccervical
ccancer.” cANS: cA
Cancer cin csitu cindicates cthat cthe ccancer cis clocalized cto cthe ccervix cand cis cnot cinvasive cat
cthis ctime. cCell cdifferentiation cis cnot cindicated cby cclinical cstaging. cBecause cthe ccancer cis cin
csitu, cthe corigin cis cthe ccervix. cFurther ctesting cis cnot cindicated cgiven cthat cthe ccancer chas
cnot cspread.
10. External-beam cradiation cis cplanned cfor ca cpatient cwith ccervical ccancer. cWhat cinstructions
cshould cthe cnurse cgive cto cthe cpatient cto cprevent ccomplications cfrom cthe ceffects cof cthe
cradiation?
a. Test call cstools cfor cthe cpresence cof cblood.
b. Maintain ca chigh-residue, chigh-fiber cdiet.
c. Clean cthe cperianal carea ccarefully cafter cevery cbowel cmovement.
d. Inspect cthe cmouth cand cthroat cdaily cfor cthe cappearance cof
cthrush. cANS: cC
, Radiation cto cthe cabdomen cwill caffect corgans cin cthe cradiation cpath, csuch cas cthe cbowel, cand ccause
cfrequent cdiarrhea. cCareful ccleaning cof cthis carea cwill chelp cdecrease cthe crisk cfor cskin cbreakdown cand
cinfection.
Stools care clikely cto chave coccult cblood cfrom cthe cinflammation cassociated cwith cradiation, cso croutine
ctesting cof cstools cfor cblood cis cnot cindicated. cRadiation cto cthe cabdomen cwill cnot ccause cstomatitis.
cA clow-residue cdiet cis crecommended cto cavoid cirritation cof cthe cbowel cwhen cpatients creceive
cabdominal cradiation.
11. The cnurse cnotes cthat ca cpatient cwho cwas cadmitted cwith cdiabetic cketoacidosis chas
crapid, cdeep crespirations. cWhich caction cshould cthe cnurse ctake?
a. Give cthe cprescribed cPRN clorazepam c(Ativan).
b. Start cthe cprescribed cPRN coxygen cat c2 cto c4 cL/min.
c. Administer cthe cprescribed cnormal csaline cbolus cand cinsulin.
d. Encourage cthe cpatient cto ctake cdeep, cslow cbreaths cwith cguided
cimagery. cANS: cC
The crapid, cdeep c(Kussmaul) crespirations cindicate ca cmetabolic cacidosis cand cthe cneed cfor ccorrection
cof cthe cacidosis cwith ca csaline cbolus cto cprevent chypovolemia cfollowed cby cinsulin cadministration cto
callow cglucose cto creenter cthe ccells. cOxygen ctherapy cis cnot cindicated cbecause cthere cis cno cindication
cthat cthe cincreased crespiratory crate cis crelated cto chypoxemia. cThe crespiratory cpattern cis ccompensatory,
cand cthe cpatient cwill cnot cbe cable cto cslow cthe crespiratory crate. cLorazepam cadministration cwill cslow
cthe crespiratory crate cand cincrease cthe clevel cof cacidosis.
17. The cnurse cis ccaring cfor ca cpatient cwho chas ca ccalcium clevel cof c12.1 cmg/dL. cWhich
cnursing caction cshould cthe cnurse cinclude con cthe ccare cplan?
a. Maintain cthe cpatient con cbed crest.
b. Auscultate clung csounds cevery c4 chours.
c. Monitor cfor cTrousseau’s cand cChvostek’s csigns.
d. Encourage cfluid cintake cup cto c4000 cmL cevery
cday. cANS: cD
To cdecrease cthe crisk cfor crenal ccalculi, cthe cpatient cshould chave ca cfluid cintake cof c3000 cto c4000 cmL
cdaily.
Ambulation chelps cdecrease cthe closs cof ccalcium cfrom cbone cand cis cencouraged cin cpatients
cwith chypercalcemia. cTrousseau’s cand cChvostek’s csigns care cmonitored cwhen cthere cis ca
cpossibility cof
hypocalcemia. cThere cis cno cindication cthat cthe cpatient cneeds cfrequent cassessment cof clung csounds,
calthough cthese cwould cbe cassessed cevery cshift.
26. cA cpatient cwho chad ca ctransverse ccolectomy cfor cdiverticulosis c18 chours cago chas cnasogastric
csuction cand cis ccomplaining cof canxiety cand cincisional cpain. cThe cpatient’s crespiratory crate cis c32
cbreaths/minute cand cthe carterial cblood cgases c(ABGs) cindicate crespiratory calkalosis. cWhich caction
cshould cthe cnurse ctake cfirst?
a. Discontinue cthe cnasogastric csuction.
b. Give cthe cpatient cthe cPRN cIV cmorphine csulfate c4 cmg.
c. Notify cthe chealth ccare cprovider cabout cthe cABG cresults.
d. Teach cthe cpatient chow cto ctake cslow, cdeep cbreaths cwhen
canxious. cANS: cB
The cpatient’s crespiratory calkalosis cis ccaused cby cthe cincreased crespiratory crate cassociated cwith
cpain cand canxiety. cThe cnurse’s cfirst caction cshould cbe cto cmedicate cthe cpatient cfor cpain.
cAlthough cthe cnasogastric
suction cmay ccontribute cto cthe calkalosis, cit cis cnot cappropriate cto cdiscontinue cthe ctube cwhen cthe
cpatient cneeds cgastric csuction. cThe chealth ccare cprovider cmay cbe cnotified cabout cthe cABGs cbut cis
clikely cto cinstruct cthe cnurse cto cmedicate cfor cpain. cThe cpatient cwill cnot cbe cable cto ctake cslow, cdeep
cbreaths cwhen cexperiencing cpain.
Exam- Questions and Answers; West
Coast University
,FINAL EXAM PASADO
4. A cpatient cwho cwas cadmitted cto cthe chospital cwith chyperglycemia cand cnewly cdiagnosed
cdiabetes cmellitus cis cscheduled cfor cdischarge cthe csecond cday cafter cadmission. cWhen
cimplementing cpatient cteaching, cwhat cis cthe cpriority caction cforthe cnurse?
a. Instruct cabout cthe cincreased crisk cfor ccardiovascular cdisease.
b. Provide cdetailed cinformation cabout cdietary ccontrol cof cglucose.
c. Teach cglucose cself-monitoring cand cmedication cadministration.
d. Give cinformation cabout cthe ceffects cof cexercise con cglucose
ccontrol. cANS: cC
When ctime cis climited, cthe cnurse cshould cfocus con cthe cpriorities cof cteaching. cIn cthis
csituation, cthe cpatient cshould cknow chow cto ctest cblood cglucose cand cadminister cmedications
cto ccontrol cglucose clevels. cThe cpatient cwill cneed cfurther cteaching cabout cthe crole cof cdiet,
cexercise, cvarious cmedications, cand cthe cmany cpotential ccomplications cof cdiabetes, cbut cthese
ctopics ccan cbe caddressed cthrough cplanning cfor cappropriate creferrals.
14. A c75-year-old cpatient cis cadmitted cfor cpancreatitis. cWhich ctool cwould cbe cthe cmost
cappropriate cfor cthe cnurse cto cuse cduring cthe cadmission cassessment?
a. Drug cAbuse cScreening cTest c(DAST-10)
b. Clinical cInstitute cWithdrawal cAssessment cof cAlcohol cScale, cRevised c(CIWA-Ar)
c. Screening cTest-Geriatric cVersion c(SMAST-G)
d. Mini-Mental cState
cExamination cANS: cC
Because cthe cabuse cof calcohol cis ca ccommon cfactor cassociated cwith cthe cdevelopment cof
cpancreatitis, cthe cfirst cassessment cstep cis cto cscreen cfor calcohol cuse cusing ca cvalidated
cscreening cquestionnaire. cThe cSMAST-G cis ca cshort-form calcoholism cscreening cinstrument
ctailored cspecifically cto cthe cneeds cof cthe colder cadult. cIf cthe cpatient cscores cpositively con cthe
cSMAST-G, cthen cthe cCIWA-Ar cwould cbe ca cuseful ctool cfor cdetermining ctreatment. cThe
cDAST-10 cprovides cmore cgeneral cinformation cregarding csubstance cuse. cThe cMini-Mental
cState cExamination cis cused cto cscreen cfor ccognitive cimpairment.
1. The csister cof ca cpatient cdiagnosed cwith cBRCA cgene–related cbreast ccancer casks cthe
cnurse, c“Do cyou cthink cI cshould cbe ctested cfor cthe cgene?” cWhich cresponse cby cthe cnurse
cis cmost cappropriate?
a. “In cmost ccases, cbreast ccancer cis cnot ccaused cby cthe cBRCA cgene.”
b. “It cdepends con chow cyou cwill cfeel cif cthe ctest cis cpositive cfor cthe cBRCA cgene.”
c. “There care cmany cthings cto cconsider cbefore cdeciding cto chave cgenetic ctesting.”
d. “You cshould cdecide cfirst cwhether cyou care cwilling cto chave ca cbilateral
cmastectomy.” cANS: cC
Although cpresymptomatic ctesting cfor cgenetic cdisorders callows cpatients cto ctake caction c(such
cas cmastectomy) cto cprevent cthe cdevelopment cof csome cgenetically ccaused cdisorders, cpatients
calso cneed cto cconsider cthat ctest cresults cin ctheir cmedical crecord cmay caffect cinsurance,
cemployability, cetc.
Telling ca cpatient cthat ca cdecision cabout cmastectomy cshould cbe cmade cbefore ctesting cimplies
cthat cthe cnurse chas cmade ca cjudgment cabout cwhat cthe cpatient cshould cdo cif cthe ctest cis
cpositive. cAlthough cthe cpatient cmay cneed cto cthink cabout cher creaction cif cthe ctest cis cpositive,
cother cissues c(e.g., cinsurance) calso cshould cbe cconsidered. cAlthough cmost cbreast ccancers care
cnot crelated cto cBRCA cgene cmutations, cthe cpatient cwith ca cBRCA cgene cmutation chas ca
cmarkedly cincreased crisk cfor cbreast ccancer.
,7. The cnurse cin cthe coutpatient cclinic chas cobtained chealth chistories cfor cthese cnew cpatients.
cWhich cpatient cmay cneed creferral cfor cgenetic ctesting?
a. 35-year-old cpatient cwhose cmaternal cgrandparents cdied cafter cstrokes cat cages c90 cand c96
b. 18-year-old cpatient cwith ca cpositive cpregnancy ctest cwhose cfirst cchild chas ccerebral cpalsy
c. 34-year-old cpatient cwho chas ca csibling cwith cnewly cdiagnosed cpolycystic ckidney cdisease
d. 50-year-old cpatient cwith ca chistory cof ccigarette csmoking cwho cis ccomplaining cof
cdyspnea cANS: cC
The cadult cform cof cpolycystic ckidney cdisease cis autosomal
can dominant disorder and cfrequently cit cis
asymptomatic cuntil cthe cpatient cis colder. cPresymptomatic ctesting cwill cgive cthe cpatient cinformation
cthat cwill cbe cuseful cin cguiding clifestyle cand cchildbearing cchoices. cThe cother cpatients cdo cnot chave
cany cindication cof cgenetic cdisorders cor cneed cfor cgenetic ctesting.
14. An cadolescent cpatient cseeks ccare cin cthe cemergency cdepartment cafter csharing cneedles
cforheroin cinjection cwith ca cfriend cwho chas chepatitis cB. cTo cprovide cimmediate cprotection
cfrom cinfection, cwhat cmedication cwill cthe cnurse cadminister?
a. Corticosteroids
b. Gamma cglobulin
c. Hepatitis cB cvaccine
d. Fresh cfrozen
cplasma cANS: cB
The cpatient cshould cfirst creceive cantibodies cfor chepatitis cB cfrom cinjection cof cgamma
cglobulin. cThe chepatitis cB cvaccination cseries cshould cbe cstarted cto cprovide cactive cimmunity.
cFresh cfrozen cplasma cand ccorticosteroids cwill cnot cbe ceffective cin cpreventing chepatitis cB cin
cthe cpatient.
6. A cpatient cwho cis cdiagnosed cwith ccervical ccancer cthat cis cclassified cas cTis, cN0, cM0 casks
cthe cnurse cwhat cthe cletters cand cnumbers cmean. cWhich cresponse cby cthe cnurse cis cmost
cappropriate?
a. “The ccancer cinvolves conly cthe ccervix.”
b. “The ccancer ccells clook calmost clike cnormal ccells.”
c. “Further ctesting cis cneeded cto cdetermine cthe cspread cof cthe ccancer.”
d. “It cis cdifficult cto cdetermine cthe coriginal csite cof cthe ccervical
ccancer.” cANS: cA
Cancer cin csitu cindicates cthat cthe ccancer cis clocalized cto cthe ccervix cand cis cnot cinvasive cat
cthis ctime. cCell cdifferentiation cis cnot cindicated cby cclinical cstaging. cBecause cthe ccancer cis cin
csitu, cthe corigin cis cthe ccervix. cFurther ctesting cis cnot cindicated cgiven cthat cthe ccancer chas
cnot cspread.
10. External-beam cradiation cis cplanned cfor ca cpatient cwith ccervical ccancer. cWhat cinstructions
cshould cthe cnurse cgive cto cthe cpatient cto cprevent ccomplications cfrom cthe ceffects cof cthe
cradiation?
a. Test call cstools cfor cthe cpresence cof cblood.
b. Maintain ca chigh-residue, chigh-fiber cdiet.
c. Clean cthe cperianal carea ccarefully cafter cevery cbowel cmovement.
d. Inspect cthe cmouth cand cthroat cdaily cfor cthe cappearance cof
cthrush. cANS: cC
, Radiation cto cthe cabdomen cwill caffect corgans cin cthe cradiation cpath, csuch cas cthe cbowel, cand ccause
cfrequent cdiarrhea. cCareful ccleaning cof cthis carea cwill chelp cdecrease cthe crisk cfor cskin cbreakdown cand
cinfection.
Stools care clikely cto chave coccult cblood cfrom cthe cinflammation cassociated cwith cradiation, cso croutine
ctesting cof cstools cfor cblood cis cnot cindicated. cRadiation cto cthe cabdomen cwill cnot ccause cstomatitis.
cA clow-residue cdiet cis crecommended cto cavoid cirritation cof cthe cbowel cwhen cpatients creceive
cabdominal cradiation.
11. The cnurse cnotes cthat ca cpatient cwho cwas cadmitted cwith cdiabetic cketoacidosis chas
crapid, cdeep crespirations. cWhich caction cshould cthe cnurse ctake?
a. Give cthe cprescribed cPRN clorazepam c(Ativan).
b. Start cthe cprescribed cPRN coxygen cat c2 cto c4 cL/min.
c. Administer cthe cprescribed cnormal csaline cbolus cand cinsulin.
d. Encourage cthe cpatient cto ctake cdeep, cslow cbreaths cwith cguided
cimagery. cANS: cC
The crapid, cdeep c(Kussmaul) crespirations cindicate ca cmetabolic cacidosis cand cthe cneed cfor ccorrection
cof cthe cacidosis cwith ca csaline cbolus cto cprevent chypovolemia cfollowed cby cinsulin cadministration cto
callow cglucose cto creenter cthe ccells. cOxygen ctherapy cis cnot cindicated cbecause cthere cis cno cindication
cthat cthe cincreased crespiratory crate cis crelated cto chypoxemia. cThe crespiratory cpattern cis ccompensatory,
cand cthe cpatient cwill cnot cbe cable cto cslow cthe crespiratory crate. cLorazepam cadministration cwill cslow
cthe crespiratory crate cand cincrease cthe clevel cof cacidosis.
17. The cnurse cis ccaring cfor ca cpatient cwho chas ca ccalcium clevel cof c12.1 cmg/dL. cWhich
cnursing caction cshould cthe cnurse cinclude con cthe ccare cplan?
a. Maintain cthe cpatient con cbed crest.
b. Auscultate clung csounds cevery c4 chours.
c. Monitor cfor cTrousseau’s cand cChvostek’s csigns.
d. Encourage cfluid cintake cup cto c4000 cmL cevery
cday. cANS: cD
To cdecrease cthe crisk cfor crenal ccalculi, cthe cpatient cshould chave ca cfluid cintake cof c3000 cto c4000 cmL
cdaily.
Ambulation chelps cdecrease cthe closs cof ccalcium cfrom cbone cand cis cencouraged cin cpatients
cwith chypercalcemia. cTrousseau’s cand cChvostek’s csigns care cmonitored cwhen cthere cis ca
cpossibility cof
hypocalcemia. cThere cis cno cindication cthat cthe cpatient cneeds cfrequent cassessment cof clung csounds,
calthough cthese cwould cbe cassessed cevery cshift.
26. cA cpatient cwho chad ca ctransverse ccolectomy cfor cdiverticulosis c18 chours cago chas cnasogastric
csuction cand cis ccomplaining cof canxiety cand cincisional cpain. cThe cpatient’s crespiratory crate cis c32
cbreaths/minute cand cthe carterial cblood cgases c(ABGs) cindicate crespiratory calkalosis. cWhich caction
cshould cthe cnurse ctake cfirst?
a. Discontinue cthe cnasogastric csuction.
b. Give cthe cpatient cthe cPRN cIV cmorphine csulfate c4 cmg.
c. Notify cthe chealth ccare cprovider cabout cthe cABG cresults.
d. Teach cthe cpatient chow cto ctake cslow, cdeep cbreaths cwhen
canxious. cANS: cB
The cpatient’s crespiratory calkalosis cis ccaused cby cthe cincreased crespiratory crate cassociated cwith
cpain cand canxiety. cThe cnurse’s cfirst caction cshould cbe cto cmedicate cthe cpatient cfor cpain.
cAlthough cthe cnasogastric
suction cmay ccontribute cto cthe calkalosis, cit cis cnot cappropriate cto cdiscontinue cthe ctube cwhen cthe
cpatient cneeds cgastric csuction. cThe chealth ccare cprovider cmay cbe cnotified cabout cthe cABGs cbut cis
clikely cto cinstruct cthe cnurse cto cmedicate cfor cpain. cThe cpatient cwill cnot cbe cable cto ctake cslow, cdeep
cbreaths cwhen cexperiencing cpain.
