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MDC IV EXAM 1 with answers
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MDC IV EXAM 1 with answers
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MDC IV EXAM 1 with answers5. \A \nurse \is \assessing \a \client \in \postoperative \recovery. \The \client \complains \of \the \following
\symptoms. \Which \of \the \following \is \abnormal \and \should \be \reported \immediately?
a. \Emesis \that \is \red
b. \Complaint \of \feeling \cold
c. \Nausea
d. \Complaint \of \pain \- \ANSWERS✔✔ \a. \Emesis \that \is \red
6. \A \client's \neurological \status \deteriorates \over \hours, \and \a \craniotomy \is \performed \to
evacuate \a \hematoma. \Which \nursing \intervention \is \indicated \to \help \decrease \the \threat \of \increased
\intracranial \pressure?
a. \Elevate \the \head \of \the \bed \30 \degrees
b. \Cluster \nursing \interventions \to \provide \uninterrupted \periods \of \rest
c. \Teach \the \client \to \cough \and \deep \breathe \to \prevent \the \necessity \for \suctioning
d. \Teach \the \client \to \hold \his \breath \and \bear \down \while \repositioning \in \bed. \- \ANSWERS✔✔ \a.
\Elevate \the \head \of \the \bed \30 \degrees
7. \A \client \presents \to \the \emergency \room \with \complaints \of \bilateral \lower \extremity \loss \of
\sensation \that \started \in \the \feet \but \has \now \progressed \to \the \knees \and \hips. \The \nurse \interprets
\these \symptoms \to \indicate \an \immediate \workup \for \which \of \the \following \diseases?
a. \Myasthenia \gravis
b. \Simple, \partial \seizure
c. \Guillain-Barre \Syndrome
d. \Cerebrovascular \accident \- \ANSWERS✔✔ \c. \Guillain-Barre \Syndrome
8. \The \charge \nurse \is \obtaining \the \client's \signature \on \a \surgical \consent \form. \The \client
states, \I \didn't \really \understand \what \my \surgeon \explained, \but \I \trust \him \completely, \which
\response \by \the \charge \nurse \is \correct?
,a. \I \need \to \contact \your \surgeon \so \your \questions \can \be \answered
b. \I \can \answer \any \questions \that \you \might \have \regarding \your \surgery.
c. \As \long \as \you \are \comfortable, \then \you \may \sign \the \consent \form.
d. \Maybe \you \should \call \your \surgeon \to \be \sure \it \is \okay \to \sign \the \consent. \- \ANSWERS✔✔ \a. \I
\need \to \contact \your \surgeon \so \your \questions \can \be \answered
9. \A \client \has \a \head \injury \and \is \presenting \with \signs \and \symptoms \of \increased \intracranial
\pressure. \Which \nursing \intervention \would \be \helpful \in \reducing \this \pressure?
a. \Place \the \neck \in \a \neutral \position \to \promote \venous \drainage
b. \Suction \hourly \to \stimulate \the \cough \reflex
c. \Add \extra \blankets \to \keep \the \client \warm.
d. \Turn \the \client \frequently \to \prevent \skin \impairment \- \ANSWERS✔✔ \a. \Place \the \neck \in \a \neutral
\position \to \promote \venous \drainage
10. \A \client \has \recently \suffered \a \stroke \with \left-sided \weakness. \The \nurse \assesses \for
dysphagia, \especially \with \thin \liquids. \Which \nursing \intervention \is \most \helpful \in \assisting \this
\patient \to \swallow \safely?
a. \The \client \should \avoid \all \liquids.
b. \Instructing \to \tuck \the \chin \when \swallowing
c. \Give \sips \of \water \with \each \bite
d. \Turn \head \to \the \left. \- \ANSWERS✔✔ \b. \Instructing \to \tuck \the \chin \when \swallowing
11. \A \client \has \a \comminuted \fracture \of \T6-T7, \resulting \in \paraplegia. \The \nurse \educates \the \client
\on \preventing \autonomic \dysreflexia. \Which \of \the \following \is \the \priority \intervention \in \this \medical
\emergency?
a. \Scheduled \bladder \and \bowel \training
b. \Choosing \foods \to \prevent \nausea
c. \Avoiding \food \allergies
d. \Preventing \electrolyte \imbalances \- \ANSWERS✔✔ \a. \Scheduled \bladder \and \bowel \training
, 12. \The \nurse \develops \a \care \plan \for \a \client \recovering \from \surgery. \What \nursing \interventions \will
\the \nurse \include \to \minimize \the \effects \of \venous \stasis?
a. \Pillows \under \the \knee \in \a \position \of \comfort
b. \Sitting \with \feet \flat \on \the \floor
c. \Early \ambulation
d. \Gentle \leg \massage \- \ANSWERS✔✔ \c. \Early \ambulation
13. \The \client \has \an \order \for \0.45% \sodium \chloride \1 \liter \to \infuse \over \15 \hours. \At \what \rate \in
\mL/hr \would \the \nurse \set \the \infusion \pump? \Round \to \the \nearest \whole \number, \do \not \use \a
\trailing \zero. \- \ANSWERS✔✔ \67 \ml/hr
14. \A \client \with \multiple \sclerosis \(MS) \is \receiving \baclofen. \The \nurse \determines \that \the \drug \is
\effective \when \it \causes \which \action?
a. \Induces \sleep
b. \Stimulates \the \client's \appetite
c. \Relieves \muscular \spasticity
d. \Reduces \the \urine \bacterial \count \- \ANSWERS✔✔ \c. \Relieves \muscular \spasticity
15. \Sudden \chest \pain \combined \with \dyspnea, \cyanosis, \and \tachycardia \are \symptoms \associated
\with \which \of \the \following \complications \of \surgery?
a. \Hypovolemic \shock
b. \Dehiscence
c. \Atelectasis
d. \Pulmonary \embolus \- \ANSWERS✔✔ \d. \Pulmonary \embolus
16. \A \client \presents \to \the \emergency \department \with \signs \of \a \stroke. \After \a \computed
\tomography \(CT) \scan, \which \revealed \a \hemorrhage, \the \nurse \anticipates \directives \for \which
one \of \the \following \plans?
A. \TPA \administration
B. \Call \a \code \blue
C. \Prep \for \a \client \surgery
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