Posted: August 23rd, 2022

MDC2 Study guide

MDC2 Study guide
READ ALL THE QUESTIONS AND ANSWER CHOICES

The nurse is caring for a consumer that offered with an bronchial asthma assault. The consumer was figuring out and forgot to take an inhaler. The respiratory charge is 24 breaths per minute. The heart beat oximeter is 85% on room air. The arterial blood fuel (ABG) is as follows: pH:7.33, PaCO2: 50 mm Hg, paO2: 70 mm Hg, HCO3: 26 mEq/L. What acid-base deficit is the consumer experiencing?
E. Respiratory acidosis with partial metabolic compensation
F. Respiratory acidosis with full metabolic compensation
G. Metabolic acidosis with full respiratory compensation
H. Metabolic alkalosis with out compensation

A nurse is educating a Sort 1 diabetic with metabolic acidosis. Which of the next statements signifies the instructing has been efficient on the reason for metabolic acidosis?
a. metabolic acidosis can happen as a consequence of diabetic ketoacidosis
b. metabolic acidosis can happen as a consequence of extreme vomiting
c. metabolic acidosis can happen as a consequence of extreme urination
d. metabolic acidosis can happen as a consequence of overhydration

A nurse is caring for a consumer admitted with acute confusion and weak spot. The consumer admitted to ingesting a considerable amount of aspirins. Important indicators reveal blood strain 102/70 mm Hg. Coronary heart charge 120 beats/minute and deep respirations at 42 breaths/minute. Arterial blood fuel (ABG) outcomes reveal pH. 7.2 paco2 35 mm hg, paO2 90MM HG, and HCO3 18 meq/L. how does the nurse interpret these outcomes? An individual who got here to the hospital with acute confusion and weak spot is being cared for by a nurse. The consumer mentioned that he had taken quite a lot of aspirin. Blood strain is 102/70 mm Hg, primarily based on the very important indicators. 120 beats per minute on the guts charge, and 42 deep breaths per minute. Arterial blood fuel (ABG) outcomes present a pH of seven.2, a CO2 stage of 35 mm Hg, an O2 stage of 90 mm Hg, and a CO3 stage of 18 meq/L. how does the nurse determine what these numbers imply?
a. Metabolic acidosis with out compensation
b. Respiratory acidosis with out compensation
c. Metabolic alkalosis with partial respiratory compensation
d. Metabolic acidosis with full respiratory compensation

The nurse is caring for a consumer who just lately ingested a considerable amount of antacids. Which of the next situations is that this consumer in danger for?
a. Metabolic acidosis
b. Metabolic alkalosis
c. Respiratory alkalosis
d. Respiratory acidosis

34. When assessing arterial blood fuel (ABG) outcomes, what is step one that the nurse ought to take for interpretation?
A. Examine for compensation
B. Notify the healthcare supplier
C. Decide the first trigger
D. Decide oxygenation

What situation(s) does the nurse anticipate in a consumer with metabolic acidosis? ( choose all thatapply)
A. Diabetic ketoacidosis
B. seizure exercise
C. hunger
D. kidney failure
E. Airway obstruction

The nurse is caring for a consumer who’s standing put up an higher endoscopic process. Which Assessment discovering would the nurse anticipate for the consumer to renew their eating regimen?
a. Adverse stool tradition
b. Regular temperature
c. Efficient swallowing
d. Bowel motion

A nurse is caring for a kind one diabetic consumer with metabolic alkalosis. Which of the next signs would the nurse count on the consumer to exhibit?
A. Tachycardia
B. Kussmaul respirations
C. Bradycardia
D. decreased reflexes

Whereas discharging a consumer with peptic ulcer illness. Which of those ought to the nurse embrace within the training? (choose all that apply)
A. Resume eating regimen as most well-liked
B. Keep away from alcohol consumption
C. Adhere to prescribed medicines
D. When to inform the healthcare supplier
E. Encourage non-steroidal anti-inflammatory medication (NSAIDs) for ache

A consumer has the next arterial blood fuel (ABG) outcomes. How would the nurse interpret these outcomes?
pH 7.42
PaCO2 55 mm Hg
HCO3 32 mEq/L
A. Metabolic alkalosis with partial respiratory compensation
B. Metabolic alkalosis with full respiratory compensation
C. Respiratory alkalosis with full metabolic compensation
D. Respiratory alkalosis with partial respiratory compensation

The nurse is caring for a consumer that offered with an bronchial asthma assault. The consumer was workingout and forgot to take an inhaler. The respiratory charge is 38 breaths per minute. The heart beat oximeter is 85% on room air. The arterial blood fuel (ABG) is as follows: pH:7.35, PaCO2: 50 mm Hg, paO2: 70 mm Hg, HCO3: 32 mEq/L. What acid-base deficit is the consumer experiencing?
A. Respiratory acidosis with partial metabolic compensation
B. Respiratory acidosis with full metabolic compensation
C. Metabolic acidosis with full respiratory compensation
D. Metabolic alkalosis with out compensation

The nurse is caring for an 80-year-old consumer identified with gastric most cancers three months in the past.The consumer has undergone chemotherapy and radiation and just lately had surgical procedure to take away the most cancers. Through the surgical process, the surgeon found that the most cancers had unfold to different organs. The consumer’s household is having issue deciding remedy choices. Which of the next interventions are applicable for the RN in offering the consumer’s care?
A. Schedule consumer for added chemotherapy
B. Schedule consumer for added radiation remedy
C. Request a seek the advice of for palliative care companies
D. Discharge consumer to hospice

four. Which of the next situations would lead to respiratory acidosis?
A. Diabetic ketoacidosis
B. Hypoglycemia
C. Continual obstructive pulmonary illness
D. Salicylate toxicity

5. A nurse is offering discharge directions to a consumer just lately identified with peptic ulcer illness. Which of the next shouldn’t be a part of the discharge directions?
A. Keep away from spicy meals
B. Resume alcohol moderately
C. Observe medicines as prescribed
D. Indicators and signs to report

eight. What’s the nurse’s precedence to incorporate when educating a consumer with esophageal most cancers about their plan of care?
A. “One of the crucial necessary issues we have to monitor for is weight reduction. Please weigh your self each day.”
B. “Esophageal dilation is just used as soon as throughout the course of your remedy when your negative effects are too extreme to tolerate.”
C. “For those who get drained within the afternoon, it’s good thought to take a nap after lunch to reenergize.”
D. “Hospice care may be wanted in the direction of the tip, however you may nonetheless have chemotherapy on the identical time.”

9. The next arterial blood fuel displays which of the next acid-base imbalance?
pH 7.38
PaCO2 40 mm Hg paO2 94 mm Hg
HCO3 26mEq/L
A. Respiratory acidosis absolutely compensated
B. Metabolic acidosis partially compensated
C. Regular arterial blood fuel
D. Respiratory alkalosis

12 A nurse is caring for a consumer who identities as Native American and is being handled for metabolic alkalosis. Earlier than discharge, which of the next will handle the multidimensional wants of the consumer? (Choose all that apply.)
A. Present emotional help
B. Present training
C. Conduct a cultural Assessment
D. Seek the advice of the dietician
E. Make sure the consumer is on strict mattress relaxation

16. A nurse is caring for a consumer admitted with a fever, cough, and physique aches with a constructive influenza A screening. The consumer states the illness began final week however couldn’t afford to overlook work with a brand new job and no medical health insurance. The consumer expresses monetary concern with the hospital keep. Which of the next intervention would the nurse implement to help the care of the consumer? (choose all that apply.)
A. Seek the advice of social employee
B. Notify the consumer’s employer
C. Notify the dietician
D. Seek the advice of consumer monetary companies
E. Nurse requests psychiatric seek the advice of

17. A consumer has the next arterial blood fuel (ABG) outcomes. How would the nurse interpret these outcomes? pH 7.36
PaCO2 58 mm Hg
HCO3 30mEq/L
A. Metabolic acidosis with full respiratory compensation
B. Metabolic alkalosis with partial respiratory compensation
C. Respiratory acidosis with full metabolic compensation
D. Respiratory acidosis with partial metabolic compensation

three. Which of the next indicators and signs ought to the examine first when assessing aclient identified with respiratory acidosis?
A. Heat flushed pores and skin
B. Skeletal muscle weak spot
C. Confusion
D. Respiratory charge of eight breaths/minutes

four. The nurse is caring for a 45-year-old consumer with bronchial asthma. The consumer offered to theemergency division with shortness of breath and arterial blood fuel (ABG) results of pH:7.28, PaCO2: 50 mm Hg, PO2; 84 mm Hg, and HCO3: 26 mEq/L. Which of the next is the proper interpretation of the consumer’s ABG?
A. Metabolic acidosis
B. Respiratory alkalosis
C. Respiratory acidosis
D. Metabolic alkalosis

5. The nurse supplies discharge directions to a consumer just lately identified with a hiatal hernia. The consumer additionally has a historical past of gastroesophageal reflux illness (GERD). Which of the next ought to be included within the consumer and household training?
A. Stay in an upright place as soon as to 2 hours after consuming
B. Take antacids earlier than consuming
C. Drink a carbonated beverage earlier than meals
D. Sleep with the pinnacle of the mattress flat

6. A nurse is performing discharge instructing for a consumer who was just lately identified withgastritis. Which of the next ought to be included within the texting?
A. Restrict train
B. Eat three massive meals every day
C. stress discount
D. Take nonsteroidal anti-inflammatory medication (NSAIDs) as prescribed

7. Which of the next laboratory assessments does the nurse have to assess to find out if the consumer’s acid-base imbalance is respiratory or metabolic?
A. Full blood rely
B. Liver operate take a look at
C. Arterial blood fuel
D. Full metabolic panel

four. A nurse is caring for a consumer with metabolic acidosis from pancreatitis. The nurse anticipates implementing, which of the next?
A. Administer insulin
B. Administer sodium bicarbonate
C. Administer antiemetics
D. Administer mucolytic

28. The nurse is caring for a consumer who is anxious about growing oral tumors. Which consumer assertion requires fast nursing intervention?
A. “I used to chew tobacco however stop 5 years in the past”
B. “I take advantage of sunscreen to cowl my face and physique when i’m on the seaside.”
C. “I don’t have dental insurance coverage, so i can’t get dental verify ups.”
D. “I solely drink alcohol on particular events like my birthday and anniversary.”

31. Which of the next electrolyte imbalances could be the precedence to deal with in a consumer with end-stage renal failure?
A. Hyperkalemia
B. Hyponatremia
C. Hypercalcemia
D. Hypermagnesemia

5. When assessing arterial blood fuel (ABG) outcomes, what is step one that the nurse ought to take bowelfor interpretation?
A. Examine for compensation
B. Label the pH
C. Decide
D. e major trigger
E. Decide oxygenation

6. A 42-year-old consumer was just lately identified with gastric most cancers. The nurse has a spouse and three babies. The consumer and the spouse are having a tough time coping with the current analysis. Which of the next nursing intervention is suitable for this consumer?
A. Educate on remedy choices
B. Seek the advice of the dietician relating to dietary wants
C. Monitor lab values for abnormalities
D. Seek the advice of social companies to supply help to the consumer and household
7. A nurse is caring for a 56-year-old consumer who offered to the emergency division with a sense of fullness within the chest, dysphagia, and chest ache. The consumer states these signs for the previous couple of months. Which of the next situations might the consumer be exhibiting primarily based on the signs?
A. Peptic ulcer illness
B. Gastritis
C. Hiatal hernia
D. Uvulitis
2. A nurse is caring for a 56-year-old consumer who offered to the emergency division with a sense of belly fullness and dysphagia. The consumer states reviews a current bloody emesis and long run ibuprofen use. Which of the next situations might the consumer be exhibiting primarily based on the signs?
A. Peptic ulcer illness
B. Gastritis
C. Hiatal hernia
D. Uvulitis

eight. The consumer’s arterial blood fuel (ABG) outcomes present a rise in pH higher than 7.45. Which situations is almost certainly to contribute to this laboratory worth?
A. Renal failure
B. Ketosis
C. Hyperventilation
D. Diarrhea
9. What situation(s) does the nurse anticipate in a consumer with aspirin toxicity? ( choose all thatapply)
A. Respiratory acidosis
B. Metabolic alkalosis
C. Respiratory alkalosis
D. Metabolic acidosis
E. No acid-base imbalance
10. A nurse is caring for a consumer who’s standing put up an higher endoscopic process. Which ofthe following ought to be included as a precedence within the post-procedure Assessment?
A. Fecal occult take a look at
B. Gag reflex
C. Temperature
D. Bowel sounds
11. A consumer has the next arterial blood fuel (ABG) outcomes. How does the nurse interpretthese outcomes?
pH 7.50
PaCO2 30 mm Hg
HCO3 20mEq/L
A. Metabolic acidosis with partial respiratory compensation
B. Respiratory alkalosis with partial metabolic compensation
C. Respiratory alkalosis with partial full metabolic compensation
D. Metabolic alkalosis with partial respiratory compensation
12. A nurse is caring for a kind one diabetic consumer with metabolic acidosis. Which of the next signs would the nurse count on the consumer to exhibit?
A. Hypertension
B. Kussmaul respirations
C. Hypoventilation
D. Hyperreflexia

43. Which of the next purchasers are in danger for growing stomatitis?
A. A 48-year-old consumer identified with osteoarthritis
B. A 70-year-old consumer identified with weight problems
C. A 55-year-old consumer with colon most cancers
D. A 50-year-old consumer identified with coronary heart failure

44. The nurse is caring for a 50-year-old consumer admitted to the emergency division for a suspected higher gastrointestinal bleed. Which of the next scientific findings would help this identified? (choose all that apply)
A. Brilliant pink or coffee-ground vomitus
B. Vertigo or dizziness
C. Elevated blood strain
D. Weak peripheral pulses
E. Decreased hemoglobin and hematocrit values

46. The nurse is caring for a consumer who just lately underwent a colon resection. The consumer issecond-day post-op with a nasogastric tube to low intermittent wall suction. Which of the next situations is that this consumer in danger for?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory alkalosis
D. Respiratory acidosis

13. Which of the next is an ordinary diagnostic research for purchasers with higher gastrointestinaldisorders?
A. Arterial blood fuel
B. Liver operate take a look at
C. Barium enema
D. Esophagogastroduodenoscopy

14. When caring for a consumer affected by metabolic acidosis, which of the next would thenurse anticipate as a remedy possibility?
A. Ammonium chloride
B. Acetazolamide
C. Sodium bicarbonate
D. Potassium

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