NUR 2392 Multidimensional Care II

MDC II – Exam 2

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[Question] asks what the priority nursing intervention is for Metabolic Alkalosis:

A. Suction patient

B. Assist with endotracheal intubation

C. Provide nutritional support

D. Provide emotional support

Aspirin toxicity causes which two conditions?

- Respiratory alkalosis

- Metabolic acidosis

HCO3- (bicarbonate) normal range

- 21-28 mEq/L

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Acidic-basic

PaCO2 normal range

- 45-35

Acidic-basic

pH normal range

- 7.35-7.45

Acidic-basic 

Which patient is most at risk to develop stomatitis?

- Cancer patient with no dental care access

Complications of surgery for oral cancer

- Airway may need endotracheal tube

Treatments for GERD

- ▪ PPIs

- ▪ Sit upright an hour after eating

Treatment options for Hiatal Hernia (Select All That Apply)

- ▪ PPI

▪ Antacids

▪ Dietary modification (soft diet)

▪ Weight loss

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▪ Elevate head when sleeping

▪ Splinting while coughing

▪ Don't do any heavy lifting/overwork yourself

▪ Nissen fundoplication surgery

▪ Incentive spirometer postoperatively

▪ Intermittent suctioning

How do you diagnose Hiatal Hernia?

- ▪ EGD

What is the priority patient teaching for esophageal cancer?

- ▪ Monitoring weight for weight loss 

What test do they use to diagnose gastritis?

- ▪ EGD for upper GI

Patient education for Peptic Ulcer Disease (preventative measures)

- Avoid coffee

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Priority electrolyte to monitor for a patient with end stage renal failure?

A. Calcium

B. Potassium

C. Magnesium

D. Sodium

There's a question about multidimensional care?

A. Dietician

B. Respiratory therapist

C. Pharmacist

D. Social Worker

E. Laboratory

F. Physician

Spanish-speaking patient with diabetic ketoacidosis, who do you get before moving

forward with treatment?

- Interpreter

Father diagnosed with influenza, sole provider of family and has 3 kids, worried about

financial burden, who do you call for consult? (Select All That Apply)

- Psych for increased stress load

- Financial services

- Social worker

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