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NUR 2356 MULTIDIMENSIONAL CARE 1 EXAM 1
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NUR 2356 MULTIDIMENSIONAL CARE 1 EXAM 1
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NUR 2356 MULTIDIMENSIONAL CARE 1 EXAM 1 LATEST 2023 TESTBANK AND EXAM 1 BLUE PRINT COMPLETE 140 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES/MDC1 EXAM 1
/MULTIDIMENSIONAL CARE Exam 1 RASMUSSEN COLLEGE
What position would the nurse utilize to prevent aspiration for a client while eating?
- ANSWER: - Sit them up right on a bed or chair
- for seizure patients feed through unaffected side
Cutaneous Pain - ANSWER: arises from burning your skin like on a hot iron or from
touching a hot pan on the stove
Visceral Pain - ANSWER: caused from deep internal disorders such as menstrual
cramps, labor pains, or gastrointestinal infections
Deep Somatic Pain - ANSWER: Ø originates from ligaments, tendons, nerves, blood
vessels and bones
- Ex: fractures or sprains
Radiating Pain - ANSWER: Ø starts at an origin but extends to other locations
- Ex: pain from a sore throat may extend to ears and head
Referred Pain - ANSWER: Ø occurs in an area distant from the site of origin
- Pain from a heart attack might be felt in the left arm or jaw
Phantom Pain - ANSWER: Ø pain that is perceived from an area that has been
surgically or traumatically removed
- Pain from an amputated limb
Neuropathic Pain - ANSWER: Ø results from an injury of one of more nerves
Acute Pain - ANSWER: short duration, rapid onset, and associated with some kind of
injury
Chronic Pain - ANSWER: last 6 months or longer and interferes with activities of daily
living
What is the most reliable source used to measure pain? - ANSWER: PQRST/ pain
scale
What does PQRST stand for? - ANSWER: Provokes (what causes it?)
Quality (How does it look like/feel?)
Radiates (Where is it? Does it spread?)
, Severity(Pain scale)
Time(When did it begin? How often does it occur?)
Location of pain - ANSWER: Where is the pain? Where is it hurting?
Intensity of pain - ANSWER: refers to the strength of the amount of pain experienced
rated mild to excruciating
Quality of pain - ANSWER: The words the patient uses to describe their pain. Such as
cramping, burning, pins and needles, sharp, dull or achy, tingling, stabbing and so on
Onset and duration of pain - ANSWER: When did the pain start
Is it constant or intermittent
What are Maslow's hierarchy of needs? - ANSWER: physiological, safety,
love/belonging, esteem, self-actualization
Basic psychological needs of Maslows - ANSWER: physiological
safety
love/belongingesteem
Air, food, water, temperature regulation, blood flow, rest, sex, physical activity
Growth needs of Maslows - ANSWER: self actualization
Factors that interfere with sleep? - ANSWER: Stress, anxiety, pain
SBAR - ANSWER: S: Situation
B: Background
A: Assessment
R: Recommendation
SBAR: Situation - ANSWER: What is the situation you are calling about?
• Identify self, unit, patient, room number.
• Briefly state the problem, what is it, when it happened or started, and how severe
(vital signs)
SBAR: Background - ANSWER: Relevant medical history, reason for admission, and
history of presentation
SBAR: Assessment - ANSWER: What do you think is going on with this person? What
is the nurses' assessment, give nursing diagnosis
5 Vital Signs - ANSWER: temperature, pulse, respiration, blood pressure, pain
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