Question

A) Maintain the patient on bed rest for the first 24 hours postoperative.
B) Apply distraction techniques to relieve pain.
C) Provide soft or liquid diet that is high in protein to assist with healing.
D) Anticipate the need for, and administer, appropriate analgesic medications.

Answer 1

Ans: D
 Feedback:
 Nursing interventions after surgery for a malignant melanoma center on promoting comfort, because wide excision surgery may be necessary. Anticipating the need for and administering appropriate analgesic medications are important. Distraction techniques may be appropriate for some patients, but these are not a substitute for analgesia. Bed rest and a modified diet are not necessary.

Answer 2

B
The cerebellum is responsible for coordination of movement of the ipsilateral (same) side of the body. Cerebellar function of the lower extremities can be assessed by having the patient run the heel of each foot down each shin and draw a figure eight with each foot on the bed or in the air. These actions are testing the patient's coordination.

Answer 3

Ans: A, B, C, D
 Feedback:
 Blistering diseases disrupt skin integrity and are associated with pain and a risk for infection. Because of the visibility of blisters, body image is often affected. The patient faces a risk for hypothermia, not hyperthermia.

Answer 4

Ans: C
 Feedback:
 After the patient's skin is bathed, it is dried carefully and dusted liberally with nonirritating powder (e.g., cornstarch), which enables the patient to move about freely in bed. Open blisters should not normally be wiped and antibiotics are not applied to wound beds in the absence of a secondary infection. Water can safely be used to provide hygiene.

Answer 5

C
 Feedback:
 The rationale for a reduction mammoplasty most often comes from the client herself as she is experiencing a complication due to the size of the breast. Back pain, low self-esteem and a self-consciousness, and skin irritation are common rationales.