NUR 2392 Multidimensional Care II
MDC 2 - Exam 2
When performing an oral assessment on a client with stomatitis, the nurse should assess which of the following? (SATA)
Correct Answer:
Recent infections Changes in nutrition or oral hygiene Medications and supplements Recent oral traumas
A nurse is caring for a 56 yo who presented to the ER with a feeling of fullness in the chest, dysphagia, and chest pain. The client states that these symptoms have been present for a couple months. Which of the following conditions could the client have?
Correct Answer:
Hiatal hernia
A client has the following ABGs. How does the nurse interpret them? pH:
7.28 PaCO2 28 mmHg HCO3: 18 mEq/L
Correct Answer:
Metabolic acidosis with partial respiratory compensation
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A nurse is caring for a client with fever, cough, body aches, and a positive influenza A screening. The client states the sickness began last week but could not afford to miss work. The client expresses financial concern with the hospital stay. Which of the following interventions would the nurse implement to support the care of the client?
Correct Answer:
Ordered clindamycin 800 mg oral suspension PO twice daily. Available is 100 mg/2 mL. How many mL per dose?
Correct Answer:
16
The nurse is caring for a 42 yo hispanic client with diabetic ketoacidosis. The client speaks limited english. There is no family at bedside. Which of the following is an appropriate intervention?
Correct Answer:
Obtain an interpreter for the client
The nurse observes ECG changes on a client with metabolic acidosis. Before notifying the provider, the nurse also assesses which lab value?
Correct Answer:
Serum potassium
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