Multidimensional Care II / MDC 2 |
Exam 2 | Latest -
Rasmussen
Question:
A 28 yr old female is in the ED w/ abd pain. C/O nausea and vomiting
x24hrs. notes localized right LQ region "McBurney’s" point, which should
the nurse anticipate?
Answer:
appendicitis
Question:
A nurse is preparing to check NG tube placement in the stomach. What
nursing action is priority?
Answer:
aspiration
,Question:
A nurse is caring for a patient with a sliding hiatal hernia, heart burn, and
frequent regurgitation after meals. What should the nurse anticipate doing
to reduce patients symptoms?
Answer:
advise on smaller, frequent meals. Sit up right for 60 min after eating
Question:
A nurse is caring for a client with a GI bleed, during assessment the nurse
notices, tachycardia, hypotension, episode of hemesis. While the nurse is in
the room, in addition to LOC and vitals, what else is a priority?
Answer:
notify healthcare provider
Question:
A 55 yr old male w/ epigastric pain and nausea, + H.Pylori, low Hgb. which
nursing intervention should be applied to situation?
Answer:
+ gag reflex
, Question:
A nurse caring for a patient dx with metabolic alkalosis from loss of gastric
secretions, through vomiting. What would the nurse include in care plan?
Answer:
Administer antiemetics
Question:
A patient with Hx of vomiting presents with symptoms of metabolic
alkalosis. The nurse reviews the ABGs, PH 7.48, PACO2 48, HC03 28.
Based on findings, which action should the nurse take to address the
situation?
Answer:
Administer PPI to reduce gastric acid production
Question:
A patient comes in with acute respiratory acidosis, secondary to an OD of
sedatives. Patient is lethargic with RR at 8. Which intervention does the
nurse need to prioritize?
Answer:
initiate mechanical ventilation to support respiratory