Rasmussen University MDC II: Multidimensional Care II Exam
2 Documentation Complete Questions & Verified Answers
Academic Year:
MDC II 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
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.
After abdominal surgery, which question should the nurse ask the
patient to determine whether peristaltic movement is returning?
A."Have you passed flatus?"
B."Are you hungry"
C."Do you have any nausea?"
D."Is your pain level manageable?"
A). Passing gas is evidence of peristaltic movement
When administering a new GI medication to an older patient, the
nurse anticipates what?
A.A higher-than-normal dose may be needed.
B.Close monitoring is needed because toxic levels may develop.
C.Older adults always require a lower-than-normal dose than younger
patients.
2 Documentation Complete Questions & Verified Answers
Academic Year:
MDC II 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
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.
After abdominal surgery, which question should the nurse ask the
patient to determine whether peristaltic movement is returning?
A."Have you passed flatus?"
B."Are you hungry"
C."Do you have any nausea?"
D."Is your pain level manageable?"
A). Passing gas is evidence of peristaltic movement
When administering a new GI medication to an older patient, the
nurse anticipates what?
A.A higher-than-normal dose may be needed.
B.Close monitoring is needed because toxic levels may develop.
C.Older adults always require a lower-than-normal dose than younger
patients.
