RASMUSSEN MDC 1 - Exam 2 Study Guide 2024

RASMUSSEN MDC 1 - Exam 2 Study Guide 2024 Update With 120+ Questions and 100% Verified Correct Answers Guaranteed Success

• Always knock or announce your entrance into the patient's room or area and introduce

yourself.

• Orient the patient to the environment, counting steps with him or her to the bathroom
• Help the patient place objects on the bedside table or in the bed and around the bed

and room and do not move them without the patient's permission

• Remove all objects and clutter between the patient's bed and the bathroom.

- Use a normal tone of voice. - CORRECT ANSWER: What are some nursing

interventions for visual impairment?

• increases workload of the heart
• venous stasis (leads to DVT)

p. 831 Funds book - CORRECT ANSWER: What are the effects of immobility on the

Circulatory System?

• Put in lower conjunctival sac
• Do not drop in center of eye
• Stabilize hands on facial structures (bony prominences)
• Hold the inner eye to avoid systemic effects (punctal occlusion)
• Do not let dropper touch their eye
• Wash hands before - CORRECT ANSWER: Patient education for instilling eye drops

• slows peristalsis (so risk for constipation)
• appetite diminishes
• food digested slowly
• decreased calorie intake/inability to meet protein demands

body muscle then broken down as food source -in extreme situations, paralytic ileus can occur

p. 831 Funds book - CORRECT ANSWER: What are the effects of immobility on the

Gastrointestinal System?

• spread your feet far apart to lower the center of gravity
• lifting an object from the floor, flex your hips,

knees, and back.

• bring the object to thigh level, bending your knees and keeping your back straight.
• stand up while holding the object as close as possible to your

body, bringing the load to the center of gravity to increase stability and decrease back strain.

• face the direction of movement
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*ATI Ch. 14 p.73-76 - CORRECT ANSWER: How does a nurse maintain balance and

body posture when lifting?

• Sudden severe pain around the eyes radiating over the face
• Headache or brow pain
• Nausea and vomiting
• Seeing colored halos around lights
• Sudden blurred vision
• Reddened sclera
• Foggy cornea
• Moderately dilated pupil that does not react to light

- Cupping and atrophy of the optic disc - CORRECT ANSWER: Signs and symptoms of

glaucoma

• Turn head slowly
• Stop smoking
• Reduce sodium intake (so less fluid buildup/pressure)

- Use medications as directed - CORRECT ANSWER: Patient education for Meniere's

disease

-educate about medications (antibiotics! ***...finish prescription, etc.)/encourage compliance and to follow regimen -inform about s/s (watching for complications such as increasing pain, things not healing right...) -provide comfort w/rest and positioning -assist in ADL -coordinate PT while in hospital to improve mobility, especially after surgery

-provide mobility assistance devices - CORRECT ANSWER: Patient education for

osteomyelitis

-handrails in bathrooms -ramps instead of stairs -wear rubber sole shoes -adequate lighting -avoid scatter rugs -prevent clutter

-avoid slippery floors - CORRECT ANSWER: Fall risk reduction for the home

-positioning: high-fowlers/orthopenic position; reduces risk of aspiration during meals -mechanic vent/trach/nasal cannula -incentive spirometer (forces pt to take deep breaths)

-deep breathing exercises, teach to cough - CORRECT ANSWER: What are some

interventions to promote respiratory function?

· Blurred vision · Clouded vision

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