NUR 2755 Multidimensional Care IV
MDC 4 Exam Questions & Answers
A client is on intravenous heparin to treat a pulmonary embolism. The client's most recent partial thromboplastin time (PTT) was 25 seconds. What order should the nurse anticipate?Decrease the heparin rate Increase the heparin rate No change to the heparin site Stop heparin, start warfarin
Correct Answer:
Increase the heparin rate
The nurse cautions that when cooling down a victim of heatstroke, one must be careful to prevent shivering because shivering can cause which of the following?Paralytic ileus Cardiacarrhythmias An increase in temperature Aseizure
Correct Answer:
An increase in temperature 1 / 4
A nurse is caring for five clients. For which clients would the nurse assess a high risk for developing a pulmonary embolism (PE)? (SATA) Client who had a reaction to contrast dye yesterday Older client who is 1-day post hip replacement surgery Client with a new spinal cord injury on a rotating bed Young obese client with a fractured femur Middle aged man with an exacerbation of asthma Older adult with chronic atrial fibrillation
Correct Answer:
Older client who is 1-day post hip replacement surgery Young obese client with a fractured femur Older adult with chronic atrial fibrillation
A client with a head injury regains consciousness after several days. When the client first awakes, What should the nurse say to the client?I will get your family Can you tell me what you remember I will bet you are a little confused right now You are in the hospital. You were in an accident and unconscious
Correct Answer:
You are in the hospital. You were in an accident and unconscious
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The nurse is assessing a client for the adequacy of ventilation. What assessment findings would indicate the client has good ventilation? (SATA) RR 24 bpm The oxygen saturation level is 98% The right side of the thorax expands slightly more than the left The trachea is just to the left of the sternal notch Nail bed are pink with good capillary refill
- There is a presence of quiet, effortless breath sounds at lung bases bilaterally
Correct Answer:
The oxygen saturation level is 98% Nail bed are pink with good capillary refill
- There is a presence of quiet, effortless breath sounds at lung bases bilaterally
For which event would the hospital's disaster plan typically be activated?Fight between to local street gangs School bus involved in an accident Explosion at a chemical factory Three-car collision on the highway
Correct Answer:
Explosion at a chemical factory
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A nurse is evaluating the status of the client who had a craniotomy 3 days ago. The nurse would suspect that the client is developing meningitis as a complication of surgery if the client exhibits which of the following?A negative Kernig sign Absence of nuchal rigidity
- A positive brudzinski sign
- A glasgow coma scale score of 15
Correct Answer:
- A positive brudzinski sign
The nurse comes upon a car accident while driving home from work. Which of the following may be included in the nurse's primary survey of injury? (SATA)
- Assess LOC pg 130 for all answers
- Remove clothing soaked with gasoline
- Remove the unconscious driver from the driver's seat
- Apply tourniquet proximal to an actively bleeding open tibia fracture
- Prepare for intubation if glasgow coma scale (GCS) is 12 or higher
Correct Answer:
- Assess LOC pg 130 for all answers
- Remove clothing soaked with gasoline
- Apply tourniquet proximal to an actively bleeding open tibia fracture
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