MDC 2 EXAM WITH ACCURATE DETAILED ANSWERS ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Terms in this set (71) ||\\//|| ||\\//|| ||\\//|| ||\\//||
Original
A nurse is caring for a client recently diagnosed with diabetes insipidus. Which of the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
following medications would be appropriate for this disorder? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Desmopressin
A nurse assess a client who is recovering from an ileostomy placement. Which clinical
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
manifestation would alert the nurses to contact the healthcare provider urgently? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A bluish stoma ||\\//|| ||\\//||
The nurse is caring for a client diagnosed with cholelithiasis. Which of the following nursing
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
instructions should be included as part of the discharge teaching? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
" You should limit high-fat meats and fried foods from your diet."
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The nurse is caring for a 46-year-old female client who presented to the emergency
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
department with dizziness, nausea, vomiting, and fatigue over the past two days. The client ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
has recently been diagnosed with breast cancer and has been undergoing chemptherapy. The
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
client labs reveal the following: Na 150 mEq/mL, potassium 3.0 mEq/mL, calcium 15 mg/dL.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Which of the following imbalances is the client exhibiting?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Hypernatremia, hypokalemia, hypercalcemia ||\\//|| ||\\//||
A nurse cares for a dying client. Which manifestation of active dying would the nurse treat
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
first?
Pain
A nurse teaches a client who is diagnosed with diabetes mellitus. Which statement would
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
the nurse include in the client's plan of care to delay the onset of microvascular and
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
macrovascular complications? ||\\//||
"Maintain tight glycemic control and prevent hyperglycemia" ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A client assessment reveals fatigue, poor memory and weight gain. The lab results reveal
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
elevated thyroid stimulating hormone (TSH) and decreased T3 and T4 levels. The nurse
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
knows that these are manifestations of which disorder? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
, Hypothyroidism
A nurse is providing client and family education for a client diagnosed with irritable bowel
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
syndrome. Which of the following is important to include in the education? (Select all that ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
apply)
Modify diet. ||\\//||
Stress reduction. ||\\//||
Adhere to prescribed medications ||\\//|| ||\\//|| ||\\//||
The nurse is caring for a client with end stage renal failure PaO2 is 94 mmHg. Arterial blood
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
gases indicate that she is experiencing metabolic acidosis with partial respiratory
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
compensation. Which of the following arterial blood gases support this? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
pH=7.33, PaCO2=31mmHg, HCO3=19mEq/L ||\\//|| ||\\//||
Which of the following signs and symptoms indicate a possible upper gastrointestinal (GI)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
bleed? (Select all that apply) ||\\//|| ||\\//|| ||\\//|| ||\\//||
Bright red or coffee ground vomitus ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Vertigo
Weak peripheral pulses ||\\//|| ||\\//||
The nurse is providing care for a client who underwent a parathyroidectomy two days ago.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
To prevent complication with the surgery, which laboratory value requires close monitoring
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
by the nurse? ||\\//|| ||\\//||
Serum calcium levels ||\\//|| ||\\//||
A client underwent a colon resection with colostomy placement. Which of the following
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
would the surgeon consult post-operatively for colostomy management?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Wound Ostomy Continence Nurse ||\\//|| ||\\//|| ||\\//||
The client has just receive a round of chemotherapy and will be discharged home. The nurse
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
is educating the client about the concerns of neutropenia and the continuing risk for
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
infection. Which of the following statements would NOT be appropriate given the client’s
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
situation?
"If you experience a fever, treat it with over-the-counter medications and report it to your
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
physician if symptoms don't resolve in 48 hours" ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A nurse is caring for a client recently diagnosed with Addisonian crisis. Which of the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
following signs and symptoms are consistent with this diagnosis? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Severe hypotension ||\\//||
Terms in this set (71) ||\\//|| ||\\//|| ||\\//|| ||\\//||
Original
A nurse is caring for a client recently diagnosed with diabetes insipidus. Which of the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
following medications would be appropriate for this disorder? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Desmopressin
A nurse assess a client who is recovering from an ileostomy placement. Which clinical
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
manifestation would alert the nurses to contact the healthcare provider urgently? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A bluish stoma ||\\//|| ||\\//||
The nurse is caring for a client diagnosed with cholelithiasis. Which of the following nursing
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
instructions should be included as part of the discharge teaching? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
" You should limit high-fat meats and fried foods from your diet."
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The nurse is caring for a 46-year-old female client who presented to the emergency
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
department with dizziness, nausea, vomiting, and fatigue over the past two days. The client ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
has recently been diagnosed with breast cancer and has been undergoing chemptherapy. The
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
client labs reveal the following: Na 150 mEq/mL, potassium 3.0 mEq/mL, calcium 15 mg/dL.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Which of the following imbalances is the client exhibiting?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Hypernatremia, hypokalemia, hypercalcemia ||\\//|| ||\\//||
A nurse cares for a dying client. Which manifestation of active dying would the nurse treat
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
first?
Pain
A nurse teaches a client who is diagnosed with diabetes mellitus. Which statement would
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
the nurse include in the client's plan of care to delay the onset of microvascular and
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
macrovascular complications? ||\\//||
"Maintain tight glycemic control and prevent hyperglycemia" ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A client assessment reveals fatigue, poor memory and weight gain. The lab results reveal
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
elevated thyroid stimulating hormone (TSH) and decreased T3 and T4 levels. The nurse
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
knows that these are manifestations of which disorder? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
, Hypothyroidism
A nurse is providing client and family education for a client diagnosed with irritable bowel
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
syndrome. Which of the following is important to include in the education? (Select all that ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
apply)
Modify diet. ||\\//||
Stress reduction. ||\\//||
Adhere to prescribed medications ||\\//|| ||\\//|| ||\\//||
The nurse is caring for a client with end stage renal failure PaO2 is 94 mmHg. Arterial blood
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
gases indicate that she is experiencing metabolic acidosis with partial respiratory
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
compensation. Which of the following arterial blood gases support this? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
pH=7.33, PaCO2=31mmHg, HCO3=19mEq/L ||\\//|| ||\\//||
Which of the following signs and symptoms indicate a possible upper gastrointestinal (GI)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
bleed? (Select all that apply) ||\\//|| ||\\//|| ||\\//|| ||\\//||
Bright red or coffee ground vomitus ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Vertigo
Weak peripheral pulses ||\\//|| ||\\//||
The nurse is providing care for a client who underwent a parathyroidectomy two days ago.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
To prevent complication with the surgery, which laboratory value requires close monitoring
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
by the nurse? ||\\//|| ||\\//||
Serum calcium levels ||\\//|| ||\\//||
A client underwent a colon resection with colostomy placement. Which of the following
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
would the surgeon consult post-operatively for colostomy management?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Wound Ostomy Continence Nurse ||\\//|| ||\\//|| ||\\//||
The client has just receive a round of chemotherapy and will be discharged home. The nurse
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
is educating the client about the concerns of neutropenia and the continuing risk for
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
infection. Which of the following statements would NOT be appropriate given the client’s
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
situation?
"If you experience a fever, treat it with over-the-counter medications and report it to your
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
physician if symptoms don't resolve in 48 hours" ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A nurse is caring for a client recently diagnosed with Addisonian crisis. Which of the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
following signs and symptoms are consistent with this diagnosis? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Severe hypotension ||\\//||
