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MDC IV Exam 2 questions with answers
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MDC IV Exam 2 questions with answers
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MDC IV Exam 2 questions with answersThe \\nurse \\is \\caring \\for \\a \\patient \\who \\is \\admitted \\to \\the \\ED \\with \\burns \\to \\the \\lower \\legs \\and
\\hands. \\During \\the \\initial \\management, \\what \\is \\the \\priority \\nursing \\care?
A. \\Assess \\and \\treat \\pain.
B. \\Evaluate \\airway \\and \\circulation.
C. \\Place \\two \\IV \\catheters \\and \\initiate \\fluid \\resuscitation.
D. \\Use \\the \\rule \\of \\nines \\to \\estimate \\percent \\of \\body \\surface \\area \\burned. \\- \\ANSWERS✔✔ \\B.
\\Evaluate \\airway \\and \\circulation.
It \\has \\been \\12 \\hours \\since \\a \\patient \\has \\been \\admitted \\for \\burns \\to \\the \\face \\and \\neck \\with
\\associated \\inhalation \\injuries. \\The \\patient \\had \\been \\wheezing \\audibly \\and \\the \\wheezing \\has \\now
\\stopped. \\What \\nursing \\action \\is \\appropriate?
A. \\Check \\the \\patient's \\Spo2 \\level.
B. \\Notify \\the \\physician \\immediately.
C. \\Re-assess \\breathing \\in \\1 \\hour.
D. \\Document \\improvement \\in \\patient's \\condition. \\- \\ANSWERS✔✔ \\B. \\Notify \\the \\physician
\\immediately.
A \\patient \\has \\been \\receiving \\dressing \\changes \\with \\silver \\sulfadiazine \\(Silvadene) \\for \\burn \\injuries
\\over \\both \\lower \\arms. \\The \\nurse \\notices \\that \\the \\patient's \\white \\blood \\cell \\count \\has \\dropped
\\significantly \\over \\the \\past \\4 \\days. \\How \\does \\the \\nurse \\interpret \\this \\finding?
A. \\Electrolyte \\imbalance
B. \\Infection \\is \\improving
C. \\Impending \\kidney \\disease
,D. \\Possible \\allergic \\reaction \\to \\silver \\sulfadiazine \\(Silvadene) \\- \\ANSWERS✔✔ \\D. \\Possible \\allergic
\\reaction \\to \\silver \\sulfadiazine \\(Silvadene)
Which \\patient \\is \\at \\greatest \\risk \\of \\developing \\acute \\respiratory \\distress \\syndrome \\(ARDS)?
A. \\24-year-old \\male \\admitted \\with \\blunt \\chest \\trauma \\and \\aspiration
B. \\56-year-old \\male \\with \\a \\history \\of \\alcohol \\abuse \\and \\chronic \\pancreatitis
C. \\72-year-old \\male \\post \\heart \\valve \\surgery \\receiving \\1 \\unit \\of \\packed \\red \\blood \\cells
D. \\82-year-old \\female \\on \\antibiotics \\for \\pneumonia \\- \\ANSWERS✔✔ \\A. \\24-year-old \\male \\admitted
\\with \\blunt \\chest \\trauma \\and \\aspiration
A \\patient \\is \\being \\discharged \\to \\home \\on \\warfarin \\(Coumadin) \\therapy \\to \\manage \\an \\acute
\\pulmonary \\embolism. \\Which \\patient \\response \\indicates \\a \\need \\for \\further \\teaching \\by \\the
\\nurse?
A. \\"I \\should \\limit \\my \\alcohol \\consumption."
B. \\"I \\should \\eat \\more \\green \\leafy \\vegetables \\like \\spinach."
C. \\"I \\should \\take \\the \\medication \\at \\the \\same \\time \\every \\day."
D. \\"I \\should \\make \\a \\doctor's \\appointment \\for \\weekly \\blood \\draws." \\- \\ANSWERS✔✔ \\B. \\"I \\should
\\eat \\more \\green \\leafy \\vegetables \\like \\spinach."
A \\patient \\in \\acute \\respiratory \\failure \\is \\classified \\as \\having \\ventilatory \\failure. \\The \\nurse
\\understands \\that \\which \\finding \\is \\a \\potential \\cause \\of \\ventilatory \\failure?
A. \\Pulmonary \\edema
B. \\Hypovolemic \\shock
C. \\Pulmonary \\embolus
D. \\Opioid \\analgesic \\overdose \\- \\ANSWERS✔✔ \\D. \\Opioid \\analgesic \\overdose
, A \\37-year-old \\male \\is \\admitted \\with \\a \\severely \\abscessed \\tooth, \\BP \\90/42, \\HR \\136, \\RR \\28, \\Spo2
\\90% \\on \\room \\air, \\temperature \\38.7º \\C. \\The \\nurse \\suspects \\that \\the \\patient \\has \\developed
\\sepsis. \\What \\is \\the \\priority \\nursing \\intervention?
A. \\Insert \\an \\indwelling \\urinary \\catheter.
B. \\Initiate \\intravenous \\fluid \\resuscitation.
C. \\Obtain \\a \\complete \\chemistry \\for \\laboratory \\analysis.
D. \\Administer \\prescribed \\antibiotics \\prior \\to \\blood \\cultures. \\- \\ANSWERS✔✔ \\B. \\Initiate \\intravenous
\\fluid \\resuscitation.
When \\assessing \\a \\patient \\for \\shock, \\the \\nurse \\knows \\that \\which \\symptom \\is \\the \\earliest
\\manifestation \\of \\shock?
A. \\Anuria
B. \\Increased \\heart \\rate
C. \\A \\decrease \\in \\respiratory \\rate \\and \\depth
D. \\A \\change \\in \\both \\systolic \\and \\diastolic \\blood \\pressure \\- \\ANSWERS✔✔ \\B. \\Increased \\heart \\rate
Which \\clinical \\manifestations \\does \\the \\nurse \\recognize \\that \\indicates \\worsening \\in \\the \\condition
\\of \\a \\patient \\in \\the \\refractory \\phase \\of \\shock?
A. \\Warm, \\flushed \\skin
B. \\Urine \\output \\of \\20 \\mL/hr
C. \\Increasing \\respiratory \\rate
D. \\Bleeding, \\oozing \\from \\IV \\sites \\- \\ANSWERS✔✔ \\D. \\Bleeding, \\oozing \\from \\IV \\sites
Clinical \\manifestation \\of \\a \\Pneumothorax \\include
Fever
Paradoxical \\chest \\movement
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