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MDC2 (NUR 2392) Multidimensional Care 2 Exam 2 with Verified Solutions
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- Rasmussen College
MDC2 (NUR 2392) Multidimensional Care 2 Exam 2
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Rasmussen UniversityMDC2 (NUR 2392) Multidimensional
Care 2 Exam 2
Course Title and Number: MDC2 (2392) Multidimensional Care 1 Exam 2
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
Exam 2
A patient is brought into the ED with respiratory depression. The
patient has a history of COPD. What acid-base imbalance is most likely?
- Respiratory Acidosis. The patient likely has a build-up of CO2, causing
respiratory acidosis.
The nurse is evaluating the lab work of a patient who has uncontrolled
metabolic acidosis. Which lab result would result from this condition?
A) pH 7.4
B) PaO2 98 mm Hg
C) bicarbonate 38 mEq/ L
D) serum potassium 5.7 mEq/L Serum potassium increases during
acidosis to try to buffer the acidic conditions.
The nurse is reviewing the standing orders for a patient who was
admitted for evaluation of chest pain. The patient has a history of
chronic obstructive pulmonary disease (COPD) and his laboratory
results and assessment reveal that he has mild respiratory acidosis. The
nurse would question which order?
A.Encourage oral
fluids B.Keep head of
bed elevated
C.Oxygen therapy at 4 L/min
as needed D.Bedrest with
bathroom privileges only
- C) Oxygen therapy at 4L/ Min as needed. Oxygen therapy is often
ordered for respiratory acidosis. However, COPD patients have a
difficult time off-loading carbon dioxide and giving too much oxygen
can cause these patients to have a decrease in respiratory drive,
leading to respiratory arrest.
A client has acute alcohol intoxication. What acid-base imbalance is
the client at risk for? - metabolic acidosis.
, A client comes into the ED with respiratory acidosis. What type of
medication would the nurse likely administer? - bronchodilators
A client comes into the ED with a high fever and is hyperventilating. His
ABG results are pH 7.51, PaCO2 28 mm Hg, and HCO3 24 mEq/L. The
nurse should identify that the client has which acid-base imbalance? -
Respiratory Alkalosis. Because the client is breathing rapidly, he is
exhaling excessive amounts of carbon dioxide. This loss of carbon
dioxide decreases the hydrogen ion level of the blood, causing the pH
to increase and resulting in respiratory alkalosis.
A nurse is caring for a client who has metabolic alkalosis. As the client
compensates for this ac id-base imbalance, which of the following
mechanisms should the nurse expect the client's body to use? -
Hypoventilation.
Hypoventilation is the mechanism that helps clients compensate for
metabolic alkalosis.
A nurse is inserting an NG tube for a client who is beginning enteral feedings. What action
should the nurse take to verify tube placement before administering initial feeding?
- Verify tube placement with radiography
Which patient statement alerts the nurse to perform a thorough GI
history and focused assessment?
A."I don't like the taste of
spicy foods." B."I got dentures
four years ago."
C."I experience occasional constipation."
D."I take ibuprofen three times daily for arthritis." –
D. large amounts of aspirin or NSAIDs can cause peptic ulcer disease and
GI bleeding.
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