MDC 1 Exam Questions With Correct Solutions Already Passed!!

MDC 1 Exam Questions With Correct Solutions Already Passed!! A client is taking a herbal supplement that helps him with his immune system. What supplement is he taking? Echinacea Enhances immunity A client is taking a herbal supplement that helps with headaches. What supplement is he taking? Feverfew Types of herbal products Aloe- Wound Healing Chamomile- Inflammatory, calming Garlic- Inhibits platelet aggregation Ginger- Antiemetic Ginkgo Biloba- Improves memory Valerian- Promotes sleep, reduces anxiety A client reports having pain from touching a curling wand. What pain does she have? Cutaneous Pain A client reports feeling pins and needles in his legs. He had a back injury in 2004. What pain does he have? Neuropathic Pain Pain is considered the 5th vital sign and is subjective? True What is a scale used to measure ones pain level? Number,FACES, FLACC,CRIES What are some of the characteristics of the pain assessment? Quality, Location (PQRST) Proactive factors: What makes it better/worse Quality: What does it feel like Region/Radiation: Where does it hurt Severity: Can you rate your pain Timing: When does it hurt, constant/intermittent, Does it hurt worse at certain times Types of Pain Cutaneous: pain from skin (burned skin) Visceral: deep internal disorder (menstrual cramps) Deep Somatic: ligament, tendon, nerves, bones (fracture bones) Radiating Pain: starts or origin and extends to other location (pain from sore throat felt in ears) Referred pain: area distant from site of origin (MI pain felt in left arm) Neuropathic pain: injury of nerves Acute Pain: short duration, rapid onset (elevate vitals) Chronic: Last 6 months or longer (adapts to pain) What is the best intervention for a fall risk client? Remove Objects from the floor. Complete a fall risk assessment, demonstrate call light, fall risk alerts, provide toileting, adequate lighting, orient to setting, place fall risk pt. near nursing stations, hourly rounding, possessions are within need, bed in lowest position and locked, rails up if unconscious, side rails down if trying to get out of bed Which persons are at risk for falls? Older adults, Confused patients, Post-Op patients What does the C mean in the RACE acronym? Confine the fire R: rescue and protect clients A: alarm the fire alarms and update with location and details C: contain and confine by closing doors and windows and move any 02 or electrical E: extinguish the fire What does the A mean in the PASS acronym? Aim the extinguisher at the base P: Pull pin A: Aim at base S: Squeeze handle S: Sweep from side to side Best intervention to take when doing a fire evacuation Keep patients and families calm Best fire extinguisher to use for an oxygen fire (because someone lit a cig in the hospital and wasn't caught) Class C Types: A (Combustibles), B (flammable liquids), C (electrical fire) What is a safety concern for an infant Choking, Body Harm, Ingesting Poison, Drowning Aspiration, Suffocation, Falls, Motor Vehicle Injury, Burns, Best intervention for a infant who is at risk for choking Avoid giving them small objects to play with Check toys for loose objects, Do not feed hard/whole foods, Do not supine while feeding, Best intervention to prevent an infant from drowning Have them wear a floatie at all times Fence in swimming pools, Begin swimming lessons early, Best intervention for an infant who as at risk for ingesting poisonous substances (cleaner, etc) Place them in a out of reach, locked cabinet Remove sources of lead, Have poison control number available, Keep medications out of reach, Best Intervention for a school aged child and body harm Teach use of helmets when doing activities like biking or sports Best intervention to prevent middle age adult harm Avoid drinking and driving What is a never event? A event that causes harm in the workplace If pt was harmed, its a never event and must be reported to state. Best example of a never event Wrong blood transfusion Medication errors, surgical errors Best intervention to prevent a never event Double checking high risk medication doses like insulin, Completing hygiene and perineal care daily on a stage 4 wound patient, Marking surgical site multiple times What is one step of the patient orientation process? Teaching the client what each machine in the room does How do you determine patient mental status Ask about name, place, time and situation to the patient Big part of an assessment or transferring a patient Evaluate use of assistive device, Determine ability to bear weight or walk Best way to use good body mechanics Bend at the knees when lifting This organization regulates patient safety goals, consists random visits, and sets protocol for safety Joint commission What is something you can do if you feel things aren't being taken care of safety wise? Be an advocate and speak up When you are bathing a client, what is one thing that you should do? Use a different cloth each time you wipe the person Best way to do eye care Wipe from the inner cannula to outer cannula Why is it important to do oral care? To keep to client daily routines, To improve client self esteem, To check for infection Best interventions for a unconscious/ intubated patient when giving oral care Place them up and on their side, Set up suction If A&O and able to sit up: Provide supplies and encourage to complete independently If conscious but unable to complete indecently: Lay pt on side