Exam (elaborations)
MDC FINAL EXAM 2023-24 QUESTIONS AND ANSWERS latest updated A+
- Course
- Institution
MDC FINAL EXAM 2023-24 QUESTIONS AND ANSWERS
[Show more]
Seller
Follow
a_plus_work
Reviews received
Content preview
MDC FINAL EXAM 2022 QUESTIONS AND ANSWERS1. 1st priority when a client falls when the nurse is not in the room?: check
on patient for any injuries
2. What do you do when a client is about to about to fall while the nurse is
there?: guide the patient to the floor.
3. Positioning to reduce injury for bony prominences: • Place pillows under
areas and elevate
• Changes position for 2hrs
• Elevate calves to protect heels
4. Reducing shear injury: • Avoid pulling and sliding patient against bed
• Keep head of bed at a slight elevation
• Make sure sheets and blankets have ripples in them that rub against the patient's
skin
• Use others to assist to protect from shearing.
5. Reduce urinary tract infection: Proper cleaning of Perineum (front to back)
6. Preventing Pressure Injuries Positioning: • Pad contact surfaces with foam,
silicone gel, air pads, or other materials with pressure-redistribution properties.
• Do not keep the head of the bed elevated above 30 degrees to prevent shearing.
• Use a lift sheet to move a patient in the bed. Avoid dragging or sliding him or her.
• When positioning a patient on his or her side, position at a 30-degree tilt.
• Re-position an immobile patient at a frequency consistent with assessed needs.
• Do not place a rubber ring or donut under the patient's sacral area.
• When moving an immobile patient from a bed to another surface, use a desig-
nated slide board well lubricated with talc or use a mechanical lift.
• Place pillows or foam wedges between two bony surfaces.
• Keep the patient's skin directly off plastic surfaces.
• Keep the patient's heels off the bed surface using bed pillow under ankles or a
heel-suspension device.
7. Nutrition: • Ensure a fluid intake between 2000 and 3000 mL/day.
• Help the patient maintain an adequate intake of protein and calories.
8. Skin Care to prevent pressure ulcer: • Perform a daily inspection of the
patient's entire skin
• Document and report any manifestations of skin infection.
• Use moisturizers daily on dry skin and apply when skin is damp
• Keep moisture from prolonged contact with skin:
• Dry areas where two skin surfaces touch, such as the axillae and under the
breasts.
• Place absorbent pads under areas where perspiration collects.
, MDC FINAL EXAM 2022 QUESTIONS AND ANSWERS
• Use moisture barriers on skin areas where wound drainage or incontinence
occurs.
• Do not massage bony prominences.
• Humidify the room.
9. Skin Cleaning (Pressure Ulcer prevention)
• Clean the skin as soon as possible after soiling occurs and at routine
intervals.
• Use a mild, heavily fatted soap or gentle commercial cleanser for inconti-
nence.
• Use tepid rather than hot water.
• In the perineal area, use a disposable cleaning cloth that contains a skin: -
barrier agent.
• While cleaning, use the minimum scrubbing force necessary to remove soil.
• Gently pat rather than rub the skin dry.
• Do not use powders or talc directly on the perineum.
• After cleaning, apply a commercial skin barrier to areas in frequent contact with
urine or feces.
10. Intrinsic contributing factors of pressure ulcers: • Immobilization
• Cognitive deficit
• Chronic illness (eg, diabetes mellitus)
• Poor nutrition
• Steroid use
• Aging
11. Extrinsic Contributing factors to pressure ulcers: • Pressure
• Friction
• Humidity
• Shear force
12. Normal body temperature: 96.4 to 99.5 (depending on the site)
13. Respiration Rate: - 12 to 20 breaths per minute
14. BP: - 120/80 and below; anything higher is abnormal
15. Pulse Ox (saturation): - 94 to 100%
16. Pulse: - 60 to 100 BPM
17. Appropriate measures in taking an oral temperature: • If patiently had food
or a drink wait 20 to 30 min before measuring temp
• Gently place the oral probe (with cover) of the thermometer under the tongue in
, MDC FINAL EXAM 2022 QUESTIONS AND ANSWERS
the posterior sublingual pocket lateral to the center of the lower jaw.
• Leave it in place until the reading is complete.
18. What is the appropriate age range to take oral temperature?: 4 and up
19. Vital signs that can indicate post-surgical pain?: • Elevated Heart Rate
• Breathing rate can be elevated
• Elevated BP
20. Complications of amputations: • Body-image disturbances
• Deep vein thrombosis (DVT)
• Slow wound healing
• Cardiac issues (eg. heart attack)
• Pneumonia
21. Type of pain with amputations?: Possibility of phantom pain
22. Autonomy for a client requiring oral care: • Brush the teeth twice a day.
• Use a soft toothbrush.
• Moisturize oral mucosa and lips every 2 to 4 hours.
• Use chlorhexidine gluconate (0.12%) rinse twice a day during the perioperative
period for patients who undergo cardiac surgery (adult patients).
• Use mouthwash inside the mouth twice a day for adult patients who are on a
ventilator.
• Give the patients the oral supplies
23. Fires: Home fires are the major cause of death and injuries
Older adults & children < 5y/o have the highest risk.
24. Most common causes of fires: Cooking fires
Smoking
Heating Equipment
Home oxygen administration equipment: 75% of home fires involves oxygen,
smoking materials are the ignition source
Remove the client from the area
25. RACE: Rescue - remove patient from danger
Alarm - pull the alarm
Contain - close doors
Extinguish fire (if possible)
26. PASS: Pull the pin
Aim at the base of the fire
Squeeze the handles
Sweep back and forth
, MDC FINAL EXAM 2022 QUESTIONS AND ANSWERS
27. Articulate typical assessment findings for a client with an infection.: •
fatigued
• diaphoretic?
• wrapped in blankets or complaining of feeling chilled
• Are the mucous membranes dry?
• Does the skin have normal elasticity (turgor)?
• pain, redness, swelling, and warmth.
• presence or absence of any rashes
•Presence of breaks or reddened areas of the skin.
• Swollen lymph nodes
• Elevated temperature and pulse rate
28. Infant safety (education for new moms in keeping babies safe): • Don't
Sleep with baby
• Car seat faces backwards for 2 years
• Baby should sleep in their back
• Do not use microwave to heat formula
• Do not sleep with mom and dad
29. Client orientation to a new room may include what specifics?: • Ensure
they can use call light before you leave
• Show them where their personal items are and place them near to them
• Show them where all the furniture is at and walk them around it.
• Also show them where the bathroom is and how to get to it
30. Anytime there is concern over a finding from an unlicensed person
-: assess the patient yourself to confirm the concern
31. Things that can be delegated to unlicensed personnel: Vital signs on a
non-critical patient
Moving/ambulating a patient
Bedside glucose monitoring
Bathing and documenting tasks
32. Benefits of bathing for a client: • Cleans the body
•Stimulates circulation
•Provides relaxation
• Enhance healing.
33. Caring for a patient with dementia/specific nursing interventions: •Pro-
mote patient orientation
• Use simple communication
• Decrease anxiety
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller a_plus_work. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78600 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now