MDC 1 Exam 1 Questions with Correctly Solved Solutions.

MDC 1 Exam 1 Questions with Correctly Solved Solutions. Maslow - Nursing Interventions to achieve different levels Air Food - Nutrition Water Temperature Regulation Elimination Rest - Sleep Effects Sex Physical Activity - Mobility Assessment Blood Flow (perfusion) - Necessary to meet other needs Safety and Security Protection from physical harm Adequate shelter Freedom from fear and anxiety Temperature Definition and Normal Value Regulation or thermoregulation determined using client's temperature Normal: 96.4-99.5 Hypothermia definition and Interventions Temperature below 96.4 - Move person out of the cold, remove wet clothing, cover with blankets, insulate person's body, monitor breathing, provide warm beverages, use warm/dry compresses Hyperthermia definition and interventions Temperature above 99.5 - Remove excessive clothing/blankets, administer antibiotics/anti-pyretic medications, elevate head of bed, encourage oral fluid intake, start IV therapy as prescribed Pulse : Normal values, what are the pulse points, what do you assess Normal: 60-100 bpm Pulse points: Carotid, radial, femoral, popliteal, posterior tibial, dorsalis pedis Assessment: Rate, Rhythm, quality Blood Pressure: Normal values, what is the appropriate cuff size Normal 120/80 Bladder of cuff needs to be 80% of arm circumference, width of cuff should be 40% of arm circumference. Respirations: Normal Values, Assessment, Effort Normal values: 12-20 Assessment: Normal, Deep, Shallow, etc. Effort: Nasal flaring, use of accessory muscles, body positioning Interventions to treat hypoxia: Oxygen administration, Oral suctioning, position changes, deep breathing, coughing exercises Pharmacological Interventions for pain Use of medications to manage illness Non-pharmacological interventions for pain Distraction, relaxation, repositioning, heat/cold application, massages Assessment before and after treatment of pain Level of pain, pain type, and location Assessment of Pain history: · P: Provocation and Palliative: What causes it, what makes it better, what makes it worse · Q: Quality and Quantity: Describe the pain · R: Region and Radiation: Where is it? · S: Severity and Scale: 0-10 pain scale, does it interfere with activities? · T: Timing: When did it start, consistent/intermittent, how long does it last Cutaneous pain Arises from burning of skin like on a hot iron or hot pain on the stove Visceral pain Caused from deep internal disorders: Menstrual cramps, labor pains, of GI infections Deep Somatic Pain Originates from ligaments, tendons, bones, blood vessels, and nerves (Fractures or sprains) Radiating Pain Starts at the origin but extends to other locations. Ex: the pain of a severe sore throat may extend to the ears and head. Referred Pain occurs in an area that is distant from the original site Ex: pain from heart attack might be felt in left arms or jaw Phantom Pain Pain that is perceived to originate from an area that has been surgically removed (Amputated limb) Neuropathic pain Results from nerve injury; the pain continues even after the painful stimuli are gone. Acute Pain Short duration, rapid onset, associated with some king of injury