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NUR 2392 / NUR2392 : Multidimensional Care II / MDC 2 Final Exam Study Guide / Rasmussen ( 50 Q&A )

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MDC 2 FINAL STUDY GUIDE 1. What symptoms would the nurse expect to find for a client with appendicitis? Select all that apply.  right lower quadrant pain  anorexia  nausea  hypothermia  projectile vomiting 2. The nurse is admitting a client with a diagnosis of myxedema. During the initial assessment, which findings would the nurse be most concerned about?  Hypertension and weight loss  Heat intolerance and emotional lability  Corneal ulcerations and increased appetite  Bradycardia and decreased intellectual function 3. True or False? A patient that is post-op day four from a hysterectomy is at risk for developing a mechanical bowel obstruction? T or F 4. What symptoms would the nurse expect to find for a client with cholecystitis? Select all that apply.  epigastric pain  right shoulder pain  nausea  fever  hypotension 5. The nurse is teaching a client diagnosed with hypothyroidism. Which statement should the nurse include in the teaching?  “Your adrenal glands will need to be assessed.”  “We will need to measure your parathyroid hormone.”  “It will take about 2 weeks for you to feel improvement after starting your medication.”  “A CT scan is necessary to determine the cause of your problem.” 6. The nurse is caring for a postoperative client who has undergone surgical removal of the pituitary gland and has now developed diabetes insipidus (DI). The nurse should assess for:  hypertension and bradycardia  polyuria and severe dehydration  fluid overload and hyponatremia  glucosuria and weight gain 7. How would the nurse expect a client with appendicitis to describe the pain? • “I have aching in my lower abdomen” • “The pain comes on very quickly and goes away just as quickly” • “The pain occurs every hour for just a few minutes” • “The pain is steady and is a 7 on a scale of 1 to 10” 8. Which assessment findings should the nurse expect in a patient with Addison’s disease?  Weight gain and loss of skin pigment  Fatigue and muscle weakness  Hypertension and hypernatremia  Increased appetite and hypokalemia 9. What is the priority nursing intervention for a client with acute appendicitis?  Teaching the client about surgery  Encouraging oral intake of clear fluids  Maintaining the client on bedrest  Assessing for symptoms of peritonitis 10. Which test should the nurse anticipate for a client experiencing weight gain, intolerance to cold, constipation, and lethargy?  Liver function tests  Hemoglobin A1C  T3, T4, and TSH  24-hour urine free cortisol measurement 11. The nurse is providing education to a client diagnosed with hyperparathyroidism. The nurse determines further teaching is necessary when the client states that they will continue to:  Take acetaminophen  Take aspirin  Eat fresh fruit  Drink milk 12. Care of the patient with an anorectal abscess should include which of these nursing interventions? Select all that apply:  Analgesics  Bed rest  Antidiarrheals

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NUR 2392 / NUR2392 : Multidimensional
Care II / MDC 2 Final Exam Study Guide /
Rasmussen ( 50 Q&A )
What symptoms would the nurse expect to find for a client with appendicitis?
Select all that apply

•1. right lower quadrant pain
•2. anorexia
•3. nausea
•4. hypothermia
•5. projectile vomiting Correct Answer: Right lower quadrant pain
anorexia
nausea

The nurse is admitting a client with a diagnosis of myxedema during the initial
assessment which findings with the nurse be most concerned about

•1. Hypertension and weight loss
•2. Heat intolerance and emotional lability
•3. Corneal ulcerations and increased appetite
•4. Bradycardia and decreased intellectual function Correct Answer: Brady cardia
and decreased intellectual function

Patient that is postop day four from a hysterectomy is at risk for developing a
mechanical bow obstruction

•1. True
•2. False Correct Answer: false

What symptoms with the nurse expect to find for a client with cholecystitus? Select
all that apply

•1. epigastric pain
•2. right shoulder pain
•3. nausea
•4. fever

, •5. hypotension Correct Answer: Epigastric pain, right shoulder pain, nausea,
fever

The nurses teaching a patient diagnosed with Hypothyroidism. What should the
Nurse educate the patient on

•1. "Your adrenal glands will need to be assessed."
•2. "We will need to measure your parathyroid hormone."
•3. "It will take about 2 weeks for you to feel improvement after starting your
medication."
•4. "A CT scan is necessary to determine the cause of your problem." Correct
Answer: It will take about 2 weeks for you to feel improvement after starting your
medication

The nurses caring for a post operative client who has undergone surgical removal
of the pituitary gland and has now developed diabetes insipidus the nurse should
assess for

•1. hypertension and bradycardia
•2. polyuria and severe dehydration
•3. fluid overload and hyponatremia
•4. glucosuria and weight gain Correct Answer: polyuria and severe dehydration

How would the nurse expect a client with appendicitis to describe the pain?

•1. "I have aching in my lower abdomen"
•2. "The pain comes on very quickly and goes away just as quickly"
•3. "The pain occurs every hour for just a few minutes"
•4. "The pain is steady and is a 7 on a scale of 1 to 10" Correct Answer: "The pain
is steady and is a 7 on a scale of 1 to 10"

Which assessment findings should the nurse expect in a patient with Addison's
disease?

•1. Weight gain and loss of skin pigment
•2. Fatigue and muscle weakness
•3. Hypertension and hypernatremia
•4. Increased appetite and hypokalemia Correct Answer: •Fatigue and muscle
weakness

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