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MDC2 (NUR 2392) Multidimensional Care 2 Final Exam 3 With Verified Solutions
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- Rasmussen College
MDC2 (NUR 2392) Multidimensional Care 2 Final Exam 3 With Verified Solutions
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lOMoARcPSD|46339803Rasmussen University
MDC2 (NUR 2392) Multidimensional
Care 2 Final Exam 3 Spring 2024
Course Title and Number: MDC2 (2392) Multidimensional Care 1 Exam 3
Exam Title:
Exam Date: 2024
Instructor:
Student Name:
Student ID:
Examination
180 minutes
Instructions:
1. Read each question carefully.
2. Answer all questions.
3. Use the provided answer sheet to mark your responses.
4. Ensure all answers are final before submitting the exam.
Good Luck!
Rasmussen University
MDC2 (NUR 2392) Multidimensional Care 2
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Final Exam 3 Spring 2024 With Verified
Solutions
lOMoARcPSD|46339803
MDC II Final Exam
1. A 72−year−old man has recently been diagnosed with oral cancer.
He has been undergoing both radiation and chemotherapy. While
visiting his oncologist, he mentions to the nurse that he has lost
all of his hair and that his mouth is very dry. He also states that he
is certain he has a cavity, because one of his teeth is hurting.
What teaching will the nurse provide to decrease the incidence of dry
mouth?
A. Consume eight glasses of water daily.
B.See the dentist immediately to get the tooth filled.
C.Brush with a combined mixture of baking soda and salt.
D. lncrease dietary intake of grapefruits and oranges, which
are high in vitamin C.
− - ANSWER>> : A
Drinking plenty of water will help increase moisture of the tissues.
Dental work should be postponed until the patient gets clearance
from the oncologist. Spicy and/or abrasive foods, such as citrus and
salt, should be avoided because they aggravate dry mouth.
2. Twenty minutes later after a careful assessment of the patient,
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the nurse notes that the patient's SaO2 is 89% and he has crackles
scattered bilaterally. The oncologist decides to admit the patient
to an acute care oncology unit, and within the hour, he is tr-
Answer>> ported to a hospital unit.
What is the priority nursing intervention upon admission?
A. Start lV normal saline for rehydration.
B.Ask the oncologist for a dental consult.
C.Apply oxygen at 2 L per nasal cannula.
D. Perform frequent oral care with normal saline.
− - ANSWER>> : C
Although all of these orders are important, the first priority is airway
management.
3. Based on the nurse's admission priority for this patient, which
interventions should be implemented? (Select all that apply.)
A. lnstruct the patient on how to cough effectively.
B.Humidify the oxygen that the patient is receiving.
C.Teach the patient to use oral suctioning as needed.
D. Ambulate the patient to the end of the hall twice every
shift.
E.Monitor cough and gag reflexes with every shift assessment.
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− - ANSWER>> : A, B, C, E
The priority on admission is airway management. Although the
patient should ambulate as tolerated, it would be better to start with
a shorter distance and monitor his SaO2 before having him walk
longer distances.
4. The next day, the patient's daughter tells the nurse that her
father refuses to eat meat because he doesn't like the taste. She
asks for advice about increasing his dietary protein.
What is the appropriate nursing response?
A. "l'll ask the oncologist to talk with you about this."
B."Try adding seasonings or using sauces to enhance the taste of
meat."
C."Remind your father that protein intake is essential if he is to
recover." D."Radiation can cause changes in taste buds that
may be temporary or permanent."
− - ANSWER>> : B
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