MDC IV Exam 2 Questions with 100% Verified Correct Answers
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Course
MDC4
Institution
MDC4
MDC IV Exam 2 Questions with 100% Verified Correct Answers
The 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. Pla...
MDC IV Exam 2 Questions with 100% Verified
Correct Answers
The 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. - Correct Answer 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. - Correct Answer 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) - Correct Answer 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 - Correct Answer 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." - Correct Answer 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 - Correct Answer 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. - Correct Answer B. Initiate intravenous
fluid resuscitation.
When assessing a patient for shock, the nurse knows that which symptom is the earliest
manifestation of shock?
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