NR2392 Multidimensional Care II MDC2 Rasmussen Exam Graded A+ | Verified Questions and Detailed Answers with Rationale
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Nur2392 mdc2
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Nur2392 Mdc2
NR2392 Multidimensional Care II MDC2
Rasmussen Exam Graded A+ |
Verified Questions and Detailed Answers with
Rationale
The nurse is educating a group of older adults about screening for
colorectal cancer. Which statement by a group member indicates the
need for further clarification about th...
NR2392 Multidimensional Care II MDC2 Rasmussen Exam 1 2023 -2024 Grad ed A+ | Verified Questions and Detailed Answers with Rationale
The nurse is educating a group of older adults about screening for colorectal cancer. Which statement by a group member indicates the need for further clarification about these guidelines? Correct Answer • “I will need to have a routine colonoscopy every 5 years.” The 2015 guidelines indicate that routine screening with colonoscopy is performed every 10 years, not every 5 years.Other options are performed at 5 -year intervals. A barium enema every 5 years is a screening option. A flexible sigmoidoscopy and a “virtual” colonoscopy every 5 years are also acceptable for screening. A “virtual” colonos copy or CT colonography is a noninvasive imaging procedure that takes multidimensional views of the entire colon. The nurse is assessing an alert client who had abdominal surgery yesterday. What method provides the most accurate data about resumption of peristalsis in the client? Correct Answer • Asking the client whether he or she has passed flatus (gas) within the previous 12 to 24 hours. The best and most reliable method for assessing the return of peristalsis following abdominal surgery is the client’s report of passing flatus within the past 8 hours or stool within the past 12 hours.Although auscultation and counting the number of sounds was once a method of assessing for bowel activity, it is no longer considered the most effective method. Obs erving the abdomen is one method of examining a client’s abdomen, but it is not a reliable way to assess for resumption of activity after surgery. The nurse is assessing a client who comes to the emergency department with acute abdominal pain. The nurse notes a bulging, pulsating mass when inspecting the abdomen. Which action by the nurse is correct ? Correct Answer • Notify the provider about this finding immediately. The nurse needs to immediately notify the health care provider because a bulging, pulsating ma ss may indicate an abdominal aortic aneurysm requiring emergency actions.Palpating the abdomen or even touching the abdomen with a stethoscope may cause this to rupture, which would be a life -threatening emergency. Because this is a potential life -threaten ing situation, questioning the client about stool habits is not appropriate. The nurse is assessing a client who has come to the emergency department with acute abdominal pain. The client is very thin and the nurse observes visible peristaltic movements when inspecting the abdomen. What does the nurse suspect? Correct Answer • Intestinal obstruction The nurse would suspect an intestinal obstruction related to peristaltic movements. Peristaltic movements are rarely seen except in thin clients. This needs to be reported to the HCP.Acute diarrhea does not cause visible peristaltic movements. Aortic aneur ysm may cause a bulging, pulsatile mass. Pancreatitis is characterized by severe pain. . A client is admitted to the hospital with severe right upper quadrant (RUQ) abdominal pain. Which assessment technique does the nurse use for this client? Correct Answer • Examines the RUQ of the abdomen last following all other assessment techniques. If the client reports pain in the RUQ, the nurse would examine this area last in the examination sequence. This sequence prevents the client from tensing abdominal muscles because of the pain, which would make the examination difficult.The sequence for examining the abdomen is inspection, auscultation, percussion, and then palpation. This sequence prevents the increase in intestinal activity and bowel sounds caused b y palpation and percussion. The client would be positioned supine with the knees bent, while keeping the arms at the sides to prevent tensing of the abdominal muscles. If a bulging, pulsating mass is present during assessment of the abdomen, do not touch t he area because the client may have an abdominal aortic aneurysm, a life -threatening problem. Notify the health care provider of this finding immediately! Which substance, produced in the stomach, facilitates the absorption of vitamin B12? Correct Answer • Intrinsic factor Intrinsic cells are produced by the parietal cells in the stomach. This substance facilitates the absorption of vitamin B12. Absence of intrinsic factor causes pernicious anemia.Glucagon, which is produced by the alpha cells in the pancre as, is essential for the regulation of metabolism. Parietal cells secrete hydrochloric acid, but this does not facilitate the absorption of vitamin B12. Pepsinogen is secreted by the chief cells; pepsinogen is a precursor to pepsin, a digestive enzyme.
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