Exam 1: NUR 2356/ NUR2356 Multidimensional Care I/ MDC 1 Exam Review | Complete Guide with Verified Answers| 2023/ 2024 Update | Rasmussen

Exam 1: NUR 2356/ NUR2356 Multidimensional Care I/ MDC 1 Exam Review | Complete Guide with Verified Answers| 2023/ 2024 Update | Rasmussen

Exam 1: NUR 2356/ NUR2356
Multidimensional Care I/ MDC 1 Exam
Review | Complete Guide with Verified
Answers| 2023/ 2024 Update | Rasmussen
Q: What is the first action you would take if a patient were ambulating to the bathroom and
states,” I feel dizzy.”
Answer:
Lay patient back down
Q: If a patient has delirium, stating “Where am I?” What is the nurse’s first intervention?
Answer:
Reorient the patient to reality; provide a safe environment
Q: ABCDE
Answer:
Airway Breathing Circulation
Disability
Exposure/Environment
Q: How often should restraints be released?
Answer:
Every 2 hours to provide skin care, passive and active range of motion (ROM), ambulation,
toileting, hydration, and nutrition.
Assess for the continued need for restraint.
Q: When using restraints, you should assess for
Answer:

Answer:
Circulation, and skin integrity. Observe for pallor, cyanosis, and coolness of extremities when
extremities are restrained.
Q: Check the restraint every minutes.
Answer:
30
Q: Restraint orders are only good for
Answer:
24 hrs then check to see if prescription is renewed.
Q: What qualifies siderails as a restraint?
Answer:
it inhibits the patients mobility
Q: Metabolic acidosis may be caused by
Answer:

• Retained acids in the blood resulting from renal impairment,
  poorly controlled diabetes mellitus, or starvation.
• Conditions that decrease bicarbonate, such as excessive GI loss.
• May be caused by excessive intake of acids, which may occur with aspirin poisoning, or by
  prolonged infusion of chloride-containing IV fluids.
  Q: HCO3 (bicarb) normal range
  Answer:
  22-26 mEq/L

Q: Metabolic acidosis s/s
Answer:
Headache
Confusion, drowsiness
Weakness
Peripheral vasodilatation
Nausea and vomiting
Kussmaul’s breathing (rapid and deep)
Frequently associated with hyperkalemia
Q: Metabolic Acidosis labs are
Answer:
Answer:
Low pH (under 7.35) Low HCO3 (under 22 mEq/L)
Q: Metabolic Alkalosis may be cause by
Answer:

• Excessive acid loss due to vomiting or gastric suction
• use of potassium-wasting diuretics
• hypokalemia
• excess bicarbonate intake
• hyperaldosteronism.
  Q: metabolic alkalosis s/s
  Answer:
  Confusion (can progress to stupor or coma) Hand tremor.
  Lightheadedness. Muscle twitching. Nausea, vomiting.
  Numbness or tingling in the face, hands, or feet. Prolonged muscle spasms (tetany)
  Q: respiratory alkalosis signs and symptoms
  Answer:
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