MDC IV Exam 2 Questions And Answers
100% Verified.
B. hEvaluate hairway hand hcirculation. h- hcorrect hanswer. h h h hThe hnurse his hcaring hfor ha
hpatient hwho his hadmitted hto hthe hED hwith hburns hto hthe hlower hlegs hand hhands. hDuring hthe
hinitial hmanagement, hwhat his hthe hpriority hnursing hcare?
A. hAssess hand htreat hpain.
B. hEvaluate hairway hand hcirculation.
C. hPlace htwo hIV hcatheters hand hinitiate hfluid hresuscitation.
D. hUse hthe hrule hof hnines hto hestimate hpercent hof hbody hsurface harea hburned.
B. hNotify hthe hphysician himmediately. h- hcorrect hanswer. h h h hIt hhas hbeen h12 hhours hsince ha
hpatient hhas hbeen hadmitted hfor hburns hto hthe hface hand hneck hwith hassociated hinhalation
hinjuries. hThe hpatient hhad hbeen hwheezing haudibly hand hthe hwheezing hhas hnow hstopped.
hWhat hnursing haction his happropriate?
A. hCheck hthe hpatient's hSpo2 hlevel.
B. hNotify hthe hphysician himmediately.
C. hRe-assess hbreathing hin h1 hhour.
D. hDocument himprovement hin hpatient's hcondition.
D. hPossible hallergic hreaction hto hsilver hsulfadiazine h(Silvadene) h- hcorrect hanswer. h h h hA
hpatient hhas hbeen hreceiving hdressing hchanges hwith hsilver hsulfadiazine h(Silvadene) hfor
hburn hinjuries hover hboth hlower harms. hThe hnurse hnotices hthat hthe hpatient's hwhite hblood
hcell hcount hhas hdropped hsignificantly hover hthe hpast h4 hdays. hHow hdoes hthe hnurse
hinterpret hthis hfinding?
A. hElectrolyte himbalance
B. hInfection his himproving
C. hImpending hkidney hdisease
D. hPossible hallergic hreaction hto hsilver hsulfadiazine h(Silvadene)
A. h24-year-old hmale hadmitted hwith hblunt hchest htrauma hand haspiration h- hcorrect hanswer. h
h h hWhich hpatient his hat hgreatest hrisk hof hdeveloping hacute hrespiratory hdistress hsyndrome
h(ARDS)?
, A. h24-year-old hmale hadmitted hwith hblunt hchest htrauma hand haspiration
B. h56-year-old hmale hwith ha hhistory hof halcohol habuse hand hchronic hpancreatitis
C. h72-year-old hmale hpost hheart hvalve hsurgery hreceiving h1 hunit hof hpacked hred hblood
hcells
D. h82-year-old hfemale hon hantibiotics hfor hpneumonia
B. h"I hshould heat hmore hgreen hleafy hvegetables hlike hspinach." h- hcorrect hanswer. h h h hA
hpatient his hbeing hdischarged hto hhome hon hwarfarin h(Coumadin) htherapy hto hmanage han
hacute hpulmonary hembolism. hWhich hpatient hresponse hindicates ha hneed hfor hfurther
hteaching hby hthe hnurse?
A. h"I hshould hlimit hmy halcohol hconsumption."
B. h"I hshould heat hmore hgreen hleafy hvegetables hlike hspinach."
C. h"I hshould htake hthe hmedication hat hthe hsame htime hevery hday."
D. h"I hshould hmake ha hdoctor's happointment hfor hweekly hblood hdraws."
D. hOpioid hanalgesic hoverdose h- hcorrect hanswer. h h h hA hpatient hin hacute hrespiratory hfailure
his hclassified has hhaving hventilatory hfailure. hThe hnurse hunderstands hthat hwhich hfinding his
ha hpotential hcause hof hventilatory hfailure?
A. hPulmonary hedema
B. hHypovolemic hshock
C. hPulmonary hembolus
D. hOpioid hanalgesic hoverdose
B. hInitiate hintravenous hfluid hresuscitation. h- hcorrect hanswer. h h h hA h37-year-old hmale his
hadmitted hwith ha hseverely habscessed htooth, hBP h90/42, hHR h136, hRR h28, hSpo2 h90% hon
hroom hair, htemperature h38.7º hC. hThe hnurse hsuspects hthat hthe hpatient hhas hdeveloped
hsepsis. hWhat his hthe hpriority hnursing hintervention?
A. hInsert han hindwelling hurinary hcatheter.
B. hInitiate hintravenous hfluid hresuscitation.
C. hObtain ha hcomplete hchemistry hfor hlaboratory hanalysis.
D. hAdminister hprescribed hantibiotics hprior hto hblood hcultures.
B. hIncreased hheart hrate h- hcorrect hanswer. h h h hWhen hassessing ha hpatient hfor hshock, hthe
hnurse hknows hthat hwhich hsymptom his hthe hearliest hmanifestation hof hshock?
A. hAnuria
B. hIncreased hheart hrate
C. hA hdecrease hin hrespiratory hrate hand hdepth
D. hA hchange hin hboth hsystolic hand hdiastolic hblood hpressure
D. hBleeding, hoozing hfrom hIV hsites h- hcorrect hanswer. h h h hWhich hclinical hmanifestations
hdoes hthe hnurse hrecognize hthat hindicates hworsening hin hthe hcondition hof ha hpatient hin hthe
hrefractory hphase hof hshock?
100% Verified.
B. hEvaluate hairway hand hcirculation. h- hcorrect hanswer. h h h hThe hnurse his hcaring hfor ha
hpatient hwho his hadmitted hto hthe hED hwith hburns hto hthe hlower hlegs hand hhands. hDuring hthe
hinitial hmanagement, hwhat his hthe hpriority hnursing hcare?
A. hAssess hand htreat hpain.
B. hEvaluate hairway hand hcirculation.
C. hPlace htwo hIV hcatheters hand hinitiate hfluid hresuscitation.
D. hUse hthe hrule hof hnines hto hestimate hpercent hof hbody hsurface harea hburned.
B. hNotify hthe hphysician himmediately. h- hcorrect hanswer. h h h hIt hhas hbeen h12 hhours hsince ha
hpatient hhas hbeen hadmitted hfor hburns hto hthe hface hand hneck hwith hassociated hinhalation
hinjuries. hThe hpatient hhad hbeen hwheezing haudibly hand hthe hwheezing hhas hnow hstopped.
hWhat hnursing haction his happropriate?
A. hCheck hthe hpatient's hSpo2 hlevel.
B. hNotify hthe hphysician himmediately.
C. hRe-assess hbreathing hin h1 hhour.
D. hDocument himprovement hin hpatient's hcondition.
D. hPossible hallergic hreaction hto hsilver hsulfadiazine h(Silvadene) h- hcorrect hanswer. h h h hA
hpatient hhas hbeen hreceiving hdressing hchanges hwith hsilver hsulfadiazine h(Silvadene) hfor
hburn hinjuries hover hboth hlower harms. hThe hnurse hnotices hthat hthe hpatient's hwhite hblood
hcell hcount hhas hdropped hsignificantly hover hthe hpast h4 hdays. hHow hdoes hthe hnurse
hinterpret hthis hfinding?
A. hElectrolyte himbalance
B. hInfection his himproving
C. hImpending hkidney hdisease
D. hPossible hallergic hreaction hto hsilver hsulfadiazine h(Silvadene)
A. h24-year-old hmale hadmitted hwith hblunt hchest htrauma hand haspiration h- hcorrect hanswer. h
h h hWhich hpatient his hat hgreatest hrisk hof hdeveloping hacute hrespiratory hdistress hsyndrome
h(ARDS)?
, A. h24-year-old hmale hadmitted hwith hblunt hchest htrauma hand haspiration
B. h56-year-old hmale hwith ha hhistory hof halcohol habuse hand hchronic hpancreatitis
C. h72-year-old hmale hpost hheart hvalve hsurgery hreceiving h1 hunit hof hpacked hred hblood
hcells
D. h82-year-old hfemale hon hantibiotics hfor hpneumonia
B. h"I hshould heat hmore hgreen hleafy hvegetables hlike hspinach." h- hcorrect hanswer. h h h hA
hpatient his hbeing hdischarged hto hhome hon hwarfarin h(Coumadin) htherapy hto hmanage han
hacute hpulmonary hembolism. hWhich hpatient hresponse hindicates ha hneed hfor hfurther
hteaching hby hthe hnurse?
A. h"I hshould hlimit hmy halcohol hconsumption."
B. h"I hshould heat hmore hgreen hleafy hvegetables hlike hspinach."
C. h"I hshould htake hthe hmedication hat hthe hsame htime hevery hday."
D. h"I hshould hmake ha hdoctor's happointment hfor hweekly hblood hdraws."
D. hOpioid hanalgesic hoverdose h- hcorrect hanswer. h h h hA hpatient hin hacute hrespiratory hfailure
his hclassified has hhaving hventilatory hfailure. hThe hnurse hunderstands hthat hwhich hfinding his
ha hpotential hcause hof hventilatory hfailure?
A. hPulmonary hedema
B. hHypovolemic hshock
C. hPulmonary hembolus
D. hOpioid hanalgesic hoverdose
B. hInitiate hintravenous hfluid hresuscitation. h- hcorrect hanswer. h h h hA h37-year-old hmale his
hadmitted hwith ha hseverely habscessed htooth, hBP h90/42, hHR h136, hRR h28, hSpo2 h90% hon
hroom hair, htemperature h38.7º hC. hThe hnurse hsuspects hthat hthe hpatient hhas hdeveloped
hsepsis. hWhat his hthe hpriority hnursing hintervention?
A. hInsert han hindwelling hurinary hcatheter.
B. hInitiate hintravenous hfluid hresuscitation.
C. hObtain ha hcomplete hchemistry hfor hlaboratory hanalysis.
D. hAdminister hprescribed hantibiotics hprior hto hblood hcultures.
B. hIncreased hheart hrate h- hcorrect hanswer. h h h hWhen hassessing ha hpatient hfor hshock, hthe
hnurse hknows hthat hwhich hsymptom his hthe hearliest hmanifestation hof hshock?
A. hAnuria
B. hIncreased hheart hrate
C. hA hdecrease hin hrespiratory hrate hand hdepth
D. hA hchange hin hboth hsystolic hand hdiastolic hblood hpressure
D. hBleeding, hoozing hfrom hIV hsites h- hcorrect hanswer. h h h hWhich hclinical hmanifestations
hdoes hthe hnurse hrecognize hthat hindicates hworsening hin hthe hcondition hof ha hpatient hin hthe
hrefractory hphase hof hshock?
