Exam 1: NUR 2356/ NUR2356 Multidimensional Care 1 (MDC 1) Exam 1 Review | Complete Guide with Questions and Verified Answers| 2023/ 2024 Update

Exam 1: NUR 2356/ NUR2356 Multidimensional
Care 1 (MDC 1) Exam 1 Review | Complete Guide
with Questions and Verified Answers| 2023/ 2024
Update
- Crepitusis a
Answer: crinkly, crackling or grating sound or feeling in the subcutaneous tissue. It can be an indication that freeair has entered the tissue.
Review signs and symptoms of hypoxia - Hypoxia is a
Answer: low oxygen level in the blood, which leadsto symptoms that may affect the client’s basic care and
comfort needs. - Hypoxia S/S
Answer: Dyspnea Elevated
blood pressure Increase
respirations Increased pulse
Pallor/pale skin
Cyanosis/blue-tinged lips or oral cavity
Anxiety
Restlessne
ss
Confusion
Drowsines
s - Hypoxia Interventions
Answer: · Oxygen therapy (O2 delivery methods, amount of O2 delivered per device, safety education)
· Incentive spirometry
· Turn, Cough and Deep Breath
· Pursed lip breathing
· Collecting a sputum specimen as examples - who is the most reliable source of pain?
Answer: Patient - Non verbal cues for pain
Answer: Grimacing, guarding, and holding or touching the affected area
- Verbal cues for pain
Answer: describing quality -sharp, dull, aching, mild, constant - Pharmacological Interventions
Answer: i. Analgesics are the mainstay for relieving pain.
ii.NS
AIDs
iii.Op
ioids
1.PCA
2.IM
3.Transdermal
4.Epidural - Non pharmacological interventions
Answer: i.Mind-body practices (yoga,chiroprac- tic manipulation)
ii. Cognitive approaches (meditation, distraction)
iii. Natural products (herbs, oils)
iv. Exercise
v. Relaxation techniques vi.
Cutaneous Stimulation vii.
Warm and colf therapies - How to do pain assessment
Answer: PQRST
- Pain rating scales 0-10
- reassess pain after interventions given to reduce pain (eg. Analgesia) have had time to work
- Assessment of pain history
- Types of pain
Answer: Acute
Cutaneo
us
Visceral
Phantom
Somatic
Radiatin
g
Referred
Neuropat
hic
Chronic - Fall safety
Answer: Lighting
Visualize patient
Orient to enviornment
2 bed rails
- Fire safety
Answer: Oxygen
R
A
C
E
P
A
S
S
Smoke detectors
Code Red - Priority safety for different age groups
Answer: Middle age drugs
Adolescent suicide
Elderly falls
Infant Suffocation - Sentinel Event
Answer: an unexpected occurrence involving death orserious physical or psychological injury, or the risk
thereof within hospital - Examples of Sentinel Events
Answer: Suicide
Death during/after labor
Wrong place surgery
Surgical error
Infant abduction in hospital
Medication errors - Safe patient transfer techniques
Answer: Use mechanical lift
Nonslip shoes/socks
Don’t twist back
Don’t pull on neck - Priority hygiene practices
Answer: Dry skin folds
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