NUR 2356 / NUR2356 Final Exam Review:
Multidimensional Care I / MDC 1 Final Exam
Review (Latest 2024/ 2025)
What is the best intervention to use for a patient just diagnosed with HIV?
Discuss the patient's support system
Call the hospital chaplain
Discuss the legal requirement to talk to partners
Offer to discuss with family for the patient - answer Discuss the patient's support
system
What is a priority intervention for an immunocompromised patient?
Discuss whether this is short term or long term
Take vital signs every 4 hours
Teach patient/family that everyone should get the influenza vaccine yearly
Wash hands before entering patient's room - answer Wash hands before entering
patient's room
What type of immunity is when antibodies are passed from mother to fetus through the
placenta? - answer natural passive immunity
What type of precautions need to be taken for a patient admitted with TB? - answer
airborne precautions
What PPE is required to enter a room if the patient has MRSA? - answer gown and
gloves (not sterile)
What do you expect to see for lab values in a patient with HIV?
Low or high CD4+ T cells?
Low or high CD8+ T cells? - answer Lower than normal CD4+ T cells & Normal CD8+ T
cells
What is the first step if you (the nurse) are stuck by a needle? - answer Wash/flush the
exposed skin with water
What is a primary defense to infection?
Inflammation
Fever
Phagocytosis
Intact skin - answer Intact skin
, If contact precautions are in place, what link in the chain of infection is broken? - answer
Mode of transmission
If a patient recently traveled and developed a fever and cough, what type of isolation
should the patient be placed in? - answer Airborne precautions
It is ok for a patient who is immunocompromised to have fresh flowers in his/her room
(true/false) - answer false
Antiretroviral drugs are used to treat HIV and work by inhibiting viral replication
(true/false) - answer true
A patient with systemic sclerosis (scleroderma) is likely to have what symptoms first?
Joint pain
Wrinkles
Raynaud's phenomenon
Hypertension - answer Raynaud's phenomenon
An intervention to avoid a Raynaud's flare up is to wear gloves in the winter (true/false) -
answer true
What patient education is expected for a patient with fibromyalgia to help reduce
symptoms?
Establish a regular sleep pattern
Do not exercise during a flare up
High intensity interval training (HIIT)
Increase calcium and caffeine intake - answer Establish a regular sleep pattern
A nurse is teaching a patient with debilitating rheumatoid arthritis about home safety.
The following statement is appropriate: "There are many adaptive devices such as grab
bars, reaching tools, grasping devices, and adaptive silverware available that may help
you."(true/false) - answer true
What do you expect to see with the rheumatoid factor (lab) for a patient experiencing a
flare up of her rheumatoid arthritis?
Positive RF
Negative RF - answer Positive RF
What assessment findings do you expect to see in a patient experiencing Raynaud's
phenomenon? - answer Cold and purple nailbeds
Skin of hands may look white
If a surgical wound was closed with sutures, what is the healing process called? -
answer primary
What is the medical term to describe thick, yellow drainage? - answer purulent
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