MDC 4 final exam with answers
A \nurse \caring \for \five \clients \which \client \is \high \risk \for \developing \PE \- \ANSWERS✔✔ \DVT
Fractured \femur
Hip \Replacement
When \at \a \public \park \nurse \encounters \person \after \bee \sting. \Lips \swollen \and \wheezing. \What \first
\would \you \do \first \- \ANSWERS✔✔ \administer \epi
Little \league \playoffs \in \the \month \of \august, \faints \in \sun, \flushed \face, \appropriate \intervention \first \-
\ANSWERS✔✔ \move \to \shady \area
Stop \activity
a \patient \has \been \admitted \with \.... \subsquent \intubation \- \ANSWERS✔✔ \right \pneumothorax
Victims \injury \severity, \mass \casculity \- \ANSWERS✔✔ \triage
Patient \with \SCI... \autonomic \dysreflexia... \nurse \includes \which \of \the \following \to \minimize \risk \of
\occurrence \- \ANSWERS✔✔ \strick \adherence \to \bowel \retraining \program
Autonomic \Dysreflexia \- \ANSWERS✔✔ \(potentially \life \threatening \emergency!) \HOB \elevate \90
\degrees, \loosen \constrictive \clothing, \assess \for \full \bladder \or \bowel \impaction, \(trigger) \administer
\antihypertensives \(may \cause \stroke, \MI, \seizure)
Nurse \evaluating \status \of \client \who \had \a \craniotomy \3 \days \ago... \nurse \suspects \patient \is
\developing \meningitis \as \comp \of \surgery \if \patient \exhibits \what... \- \ANSWERS✔✔ \positive \brudinski
Positive \kernigs \sign
positive \nuchal \rigidity
, signs \and \symptoms \of \meningitis \- \ANSWERS✔✔ \fever, \
HA, \
stiff \neck, \
altered \mental \status, \
nuchal \rigidity, \photophobia, \n/v, \
tachycardia, \
seizures, \petechiae, \kernigs \sign \and \brudzinskis \sign
\
multiple \sclerosis \baclofen \is \affective \when \- \ANSWERS✔✔ \relieves \muscle \spasticity
thrombolytic \stroke \priority \assessment \in \the \1st \24 \hours \- \ANSWERS✔✔ \ECG
frost \bite \on \hands \and \feet.. \second \degree \skin \has \which \signs \- \ANSWERS✔✔ \reddened \and \has
\blisters \filled \with \milky \fluid
emergency \dept. \nurse \assessing \client \who \has \blunt \injury \to \chest \wall. \What \signs \would \indicate
\presence \of \pneumothorax \- \ANSWERS✔✔ \diminished \breath \sounds
edlerly \man \found \unresponsive \in \home.. \nurse \recognizes \man \skin \color \of \cherry \red. \what \does
\the \nurse \suspect \- \ANSWERS✔✔ \carbon \monoxide \posioning
carbon \monoxide \poisoning \signs \and \symptoms \- \ANSWERS✔✔ \Headache
Dizziness
Fatigue
Nausea \and \vomiting
A \nurse \caring \for \five \clients \which \client \is \high \risk \for \developing \PE \- \ANSWERS✔✔ \DVT
Fractured \femur
Hip \Replacement
When \at \a \public \park \nurse \encounters \person \after \bee \sting. \Lips \swollen \and \wheezing. \What \first
\would \you \do \first \- \ANSWERS✔✔ \administer \epi
Little \league \playoffs \in \the \month \of \august, \faints \in \sun, \flushed \face, \appropriate \intervention \first \-
\ANSWERS✔✔ \move \to \shady \area
Stop \activity
a \patient \has \been \admitted \with \.... \subsquent \intubation \- \ANSWERS✔✔ \right \pneumothorax
Victims \injury \severity, \mass \casculity \- \ANSWERS✔✔ \triage
Patient \with \SCI... \autonomic \dysreflexia... \nurse \includes \which \of \the \following \to \minimize \risk \of
\occurrence \- \ANSWERS✔✔ \strick \adherence \to \bowel \retraining \program
Autonomic \Dysreflexia \- \ANSWERS✔✔ \(potentially \life \threatening \emergency!) \HOB \elevate \90
\degrees, \loosen \constrictive \clothing, \assess \for \full \bladder \or \bowel \impaction, \(trigger) \administer
\antihypertensives \(may \cause \stroke, \MI, \seizure)
Nurse \evaluating \status \of \client \who \had \a \craniotomy \3 \days \ago... \nurse \suspects \patient \is
\developing \meningitis \as \comp \of \surgery \if \patient \exhibits \what... \- \ANSWERS✔✔ \positive \brudinski
Positive \kernigs \sign
positive \nuchal \rigidity
, signs \and \symptoms \of \meningitis \- \ANSWERS✔✔ \fever, \
HA, \
stiff \neck, \
altered \mental \status, \
nuchal \rigidity, \photophobia, \n/v, \
tachycardia, \
seizures, \petechiae, \kernigs \sign \and \brudzinskis \sign
\
multiple \sclerosis \baclofen \is \affective \when \- \ANSWERS✔✔ \relieves \muscle \spasticity
thrombolytic \stroke \priority \assessment \in \the \1st \24 \hours \- \ANSWERS✔✔ \ECG
frost \bite \on \hands \and \feet.. \second \degree \skin \has \which \signs \- \ANSWERS✔✔ \reddened \and \has
\blisters \filled \with \milky \fluid
emergency \dept. \nurse \assessing \client \who \has \blunt \injury \to \chest \wall. \What \signs \would \indicate
\presence \of \pneumothorax \- \ANSWERS✔✔ \diminished \breath \sounds
edlerly \man \found \unresponsive \in \home.. \nurse \recognizes \man \skin \color \of \cherry \red. \what \does
\the \nurse \suspect \- \ANSWERS✔✔ \carbon \monoxide \posioning
carbon \monoxide \poisoning \signs \and \symptoms \- \ANSWERS✔✔ \Headache
Dizziness
Fatigue
Nausea \and \vomiting
