{"id":116365,"date":"2023-08-25T10:05:12","date_gmt":"2023-08-25T10:05:12","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=116365"},"modified":"2023-08-25T10:05:14","modified_gmt":"2023-08-25T10:05:14","slug":"nur2392-multidimensional-care-ii-mdc-2-exam-2-questions-answers-newly-updated-rasmussen","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/25\/nur2392-multidimensional-care-ii-mdc-2-exam-2-questions-answers-newly-updated-rasmussen\/","title":{"rendered":"NUR2392: Multidimensional Care II \/ MDC 2 Exam 2 \/Questions &#038; Answers\/Newly Updated\/Rasmussen"},"content":{"rendered":"\n<ul class=\"wp-block-list\">\n<li><\/li>\n<\/ul>\n\n\n\n<p>NUR2392: Multidimensional Care II \/ MDC II Exam 2<br>A patient is brought into the ED with respiratory depression. The patient has a<br>history of COPD. What acid-base imbalance is most likely?<br>(ANS &#8211; Respiratory Acidosis. The patient likely has a build-up of CO2, causing<br>respiratory acidosis.<br>The nurse is evaluating the lab work of a patient who has uncontrolled metabolic<br>acidosis. Which lab result would result from this condition?<br>A) pH 7.4<br>B) PaO2 98 mm Hg<br>C) bicarbonate 38 mEq\/ L<br>D) serum potassium 5.7 mEq\/L<br>(ANS \u2013<br>D) serum potassium 5.7 mEq\/L. Serum potassium increases during acidosis to try<br>to buffer the acidic conditions.<br>The nurse is reviewing the standing orders for a patient who was admitted for<br>evaluation of chest pain. The patient has a history of chronic obstructive<br>pulmonary disease (COPD) and his laboratory results and assessment reveal that he<br>has mild respiratory acidosis. The nurse would question which order?<br>A.Encourage oral fluids<br>B.Keep head of bed elevated<br>C.Oxygen therapy at 4 L\/min as needed<br>D.Bedrest with bathroom privileges only<br>(ANS &#8211; C) Oxygen therapy at 4L\/ Min as needed. Oxygen therapy is often ordered<br>for respiratory acidosis. However, COPD patients have a difficult time off-loading<\/p>\n\n\n\n<p>carbon dioxide and giving too much oxygen can cause these patients to have a<br>decrease in respiratory drive, leading to respiratory arrest.<br>A client has acute alcohol intoxication. What acid-base imbalance is the client at<br>risk for?<br>(ANS &#8211; metabolic acidosis.<br>A client comes into the ED with respiratory acidosis. What type of medication<br>would the nurse likely administer?<br>(ANS &#8211; bronchodilators<br>A client comes into the ED with a high fever and is hyperventilating. His ABG<br>results are pH 7.51, PaCO2 28 mm Hg, and HCO3 24 mEq\/L. The nurse should<br>identify that the client has which acid-base imbalance?<br>(ANS &#8211; Respiratory Alkalosis. Because the client is breathing rapidly, he is<br>exhaling excessive amounts of carbon dioxide. This loss of carbon dioxide<br>decreases the hydrogen ion level of the blood, causing the pH to increase and<br>resulting in respiratory alkalosis.<br>A nurse is caring for a client who has metabolic alkalosis. As the client<br>compensates for this ac<br>id-base imbalance, which of the following mechanisms should the nurse expect the<br>client&#8217;s body to use?<br>(ANS &#8211; Hypoventilation.<br>Hypoventilation is the mechanism that helps clients compensate for metabolic<br>alkalosis.<\/p>\n\n\n\n<p>A nurse is inserting an NG tube for a client who is beginning enteral feedings.<br>What action should the nurse take to verify tube placement before administering<br>initial feeding?(ANS &#8211; Verify tube placement with radiography<br>Which patient statement alerts the nurse to perform a thorough GI history and<br>focused assessment?<br>A.&#8221;I don&#8217;t like the taste of spicy foods.&#8221;<br>B.&#8221;I got dentures four years ago.&#8221;<br>C.&#8221;I experience occasional constipation.&#8221;<br>D.&#8221;I take ibuprofen three times daily for arthritis.&#8221;<br>(ANS &#8211; D. large amounts of aspirin or NSAIDs can cause peptic ulcer disease and<br>GI bleeding.<br>After abdominal surgery, which question should the nurse ask the patient to<br>determine whether peristaltic movement is returning?<br>A.&#8221;Have you passed flatus?&#8221;<br>B.&#8221;Are you hungry&#8221;<br>C.&#8221;Do you have any nausea?&#8221;<br>D.&#8221;Is your pain level manageable?&#8221;<br>(ANS &#8211; A). Passing gas is evidence of peristaltic movement<br>When administering a new GI medication to an older patient, the nurse anticipates<br>what?<br>A.A higher-than-normal dose may be needed.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>NUR2392: Multidimensional Care II \/ MDC II Exam 2A patient is brought into the ED with respiratory depression. The patient has ahistory of COPD. What acid-base imbalance is most likely?(ANS &#8211; Respiratory Acidosis. The patient likely has a build-up of CO2, causingrespiratory acidosis.The nurse is evaluating the lab work of a patient who has uncontrolled [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-116365","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116365","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=116365"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116365\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=116365"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=116365"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=116365"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}