NUR 2392 Multidimensional Care II
MDC 2 - Exam 2
A nurse is caring for a patient who presents to the emergency department with acute asthma exacerbation. The RR is 36 breaths/min, O2 sats is 85% on room air with use of accessory muscles. The nurse places the client on a 4L O2 nasal cannula. ABGs are: pH: 7.28, PaCO2: 50 mmHg, PaO2: 75
mmHg, HCO3: 26 mEq/L. Which of the following treatments are the nurse's
priority?
Correct Answer:
Administer bronchodilators
The nurse is caring for an 80yr old diagnosed with gastric cancer three months ago. The client has undergone chemo and radiation and has recently undergone surgery to remove the cancer. During the procedure, the surgeon notices that the cancer has metastasized. The client's family is having difficulty deciding treatment options. Which of the following interventions are appropriate for the RN in providing client's care?
Correct Answer:
Request a consult for palliative care services
What is the nurse's priority to include when educating a client with esophageal cancer about their plan of care?
Correct Answer:
One of the most important things we need to monitor is weight loss. Please weigh yourself daily 1 / 2
A client has the following ABGs. How does the nurse interpret them?pH: 7.50 PaCO2 30 mmHg HCO3: 20 mEq/L
Correct Answer:
Respiratory alkalosis with partial metabolic compensation
Which of the following clients is an example of developing secondary stomatitis?
Correct Answer:
64 yo client with a history of metastatic breast cancer receiving chemotherapy presenting with stomatitis
The nurse provides discharge instructions to a client recently diagnosed with a hiatal hernia. The client also has a history of GERD. Which should be included in the education?
Correct Answer:
Remain in an upright position for 1-2 hours after eating
Which of the following clients are at risk for developing stomatitis?
Correct Answer:
55 yo with colon cancer
A nurse is caring for a client diagnosed with severe GERD. Which of the following medications would the nurse expect the provider to order?
Correct Answer:
Pantoprazole
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