Exam (elaborations)
MDC2 (NUR 2392) Multidimensional Care 2 Fall 2024 Exam 1 With Verified Solutions
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- Rasmussen College
MDC2 (NUR 2392) Multidimensional Care 2 Fall 2024 Exam 1 With Verified Solutions
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Rasmussen UniversityMDC2 (NUR 2392) Multidimensional
Care 2 Fall 2024 Exam 1
Course Title and Number: MDC2 (2392) Multidimensional Care 1 Exam
1
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
Fall 2024 Exam 1 With Verified Solutions
MDC2 (NUR 2392) Multidimensional Care 2 - Exam 1
1. Why is sleep necessary for the body’s normal function?
A. It is an important regulator of energy metabolism.
B. It may improve learning and adaptation.
C. It affects almost every tissue in our bodies.
D. It reduces stress and anxiety.
E. It nourishes health.
F. Growth hormone is released during sleep.
G. It is important for mental health.
Answer: A, B, C, D, E, F, G.
Rationale: Sleep is crucial for energy regulation, mental and
physical health, growth hormone release, stress reduction, and overall
well-being.
2. Identify the nursing interventions that promote rest and sleep
beyond relieving discomfort or pain.
A. Create a restful environment (clean, dry linens, dark, quiet room).
B. Promote relaxation techniques (back rub, guided imagery).
C. Avoid caffeine, smoking, and alcohol at bedtime.
D. Eat a small carbohydrate snack before bed.
E. Administer sleep medications.
Answer: A, B, C, D.
Rationale: Creating a restful environment, using relaxation
techniques, avoiding stimulants, and having a small snack can
promote better sleep. Medication is not included unless prescribed.
3. How do changes in mastication and swallowing influence
nutritional intake?
A. If the client is unable to chew, food is ground or blended, which
may affect food appearance and appeal.
,B. Swallowing issues require thickened liquids to prevent choking,
which may alter taste and consistency.
C. Chewing difficulties do not impact nutritional intake significantly.
Answer: A, B.
Rationale: Changes in mastication and swallowing necessitate
modifications in food and liquid consistency to ensure safe and
appealing nutrition.
4. Differentiate between the types of nutritional intake methods
and their nursing care.
Oral Intake:
Definition: Taking all nutritional intake by mouth.
Nursing Care: Position patient appropriately, maintain a sterile
environment, restrict liquid intake as needed, offer frequent
small meals, and ensure food is warm.
Enteral Intake:
Definition: Taking all nutritional intake through an MG tube,
G-Tube, Peg Tube, or Jejunostomy tube.
Nursing Care: Confirm tube placement, position patient
correctly, label tubes properly, and monitor patient status.
Parenteral Intake:
Definition: Taking nutrition through a centrally inserted IV line
such as a PICC or central venous access device.
Nursing Care: Measure intake and output accurately, monitor
weight daily, track calorie counts, and encourage additional
fluid intake orally.
5. What types of patients may have fluid restrictions?
A. Clients with chronic renal failure.
B. Clients with heart failure.
C. Clients with SIADH.
D. Clients with diabetes.
Answer: A, B, C.
, Rationale: Patients with fluid volume excess conditions such as
chronic renal failure, heart failure, and SIADH may have fluid
restrictions.
6. Which medications affect hydration status?
A. Diuretics.
B. Laxatives.
C. Enemas.
D. Over-the-counter medications.
E. Herbal remedies.
Answer: A, B, C, D, E.
Rationale: These medications can influence hydration levels and
electrolyte balance.
7. Classify the types of urinary incontinence and their
characteristics.
Stress Incontinence: Involuntary loss of urine associated with
sneezing or laughing.
Urge Incontinence: Involuntary loss of large amounts of urine
with a strong urge to urinate.
Overflow Incontinence: Loss of urine due to a distended
bladder.
Functional Incontinence: Loss of urinary control related to
immobility, external obstacles, or communication issues.
Unconscious Incontinence: Loss of urine without awareness of
a full bladder or urge to urinate.
8. What nursing care should be provided for a client with
incontinence?
A. Diet high in fiber.
B. Eating fruits, vegetables, and whole grains.
C. Drinking 8 to 12 glasses of water daily unless contraindicated.
D. Reminding the patient to void promptly when the urge occurs.
Answer: A, B, C, D.
Rationale: High fiber diet, hydration, and regular reminders to void
can help manage incontinence.
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