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Multidimensional Care IV: Advanced Patient-Centered Nursing & Complex Health

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This comprehensive guide for nursing students covers advanced concepts in multidimensional care, focusing on the management of patients with complex, multi-system health disorders. It integrates principles of pathophysiology, pharmacology, and evidence-based practice to develop clinical judgment for acute and chronic conditions across the lifespan.

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1|Page



NUR 2755 Multidimensional Care IV (MDC 4) Exam
1- 85 Practice Questions And Correct Answers
Graded A+ Rasmussen/ MDC 4 Exam 1 Review
Latest


Fall Prevention in the Home - ...ANSWER...✓✓ -Remove
items that could cause the client to trip(throw rugs and
loose carpets)
-Place electrical cords and extension cords against a wall
or behind furniture
-Monitor gait and balance, and provide aids as needed
-Make sure that steps and sidewalks are in good repair
-Place grab bars near the toilet and in the tub or shower
and install a stool riser


Communicable Diseases - ...ANSWER...✓✓ Infections that
can spread from one person to another


How do NSAIDs affect bone healing - ...ANSWER...✓✓
They delay bone healing

,2|Page



Gout - ...ANSWER...✓✓ -A systemic disease in which
urate crystals deposit in the joints and other body tissues,
causing inflammation
-Primary _______ : The production of the uric acid exceeds
the excretion capability of the kidneys
-Secondary _______ : Involves hyperuricemia caused by
another disease or factor, and affects people of all ages


CREST Syndrome - ...ANSWER...✓✓ -Calcinosis (calcium
deposits)
-Raynaud's phenomenon (first symptom that occurs)
-Esophageal dysmotility
-Sclerodactyly (scleroderma of the digits)
-Telangiectasia (spider-like hemangiomas)


Fall Prevention In Hospital - ...ANSWER...✓✓ -Fall
bracelets and yellow socks
-Bed alarm
-Remove clutter
-Keep items within reach (call light, personal items)
-Gait Belts

,3|Page



-Orient them to the call light and educate them to use call
light to get help rather than getting up without assistance.
Nurses should respond to call light in a timely manner
-Put them in room close to nurses station
-Have good lighting (especially at night)
-Beds: Put in low position, lock wheels, use side rails
appropriately


Preschooler/School Age Children Firearm Safety -
...ANSWER...✓✓ -Keep firearms unloaded, locked up, and
out of reach
-Teach to never touch a gun or stay at a friend's house
where a gun is accessible
-Store bullets in a different locations from guns


Preschooler/School Age Children Poison Home Safety -
...ANSWER...✓✓ -Teach children about the hazards of
alcohol, cigarettes, prescription, non-prescription, and
illicit drugs
-Keep potentially dangerous substances out of reach
-Have the poison control hotline number available.

, 4|Page



Preschooler/School Age Children Motor Vehicle Safety -
...ANSWER...✓✓ -Use booster seats for children who are
less than 4ft 9in tall and weigh less than 40lbs (usually 4
to 8 years old)
-If the care has a passenger air bag, place children under
12 yrs in the back seat
-Use seatbelts properly after booster seats are no longer
necessary
-Use protective equipment when participating in sports,
riding a bike, or riding as passenger on a bike
-Supervise and teach safe use of equipment
-Teach the child to play in safe areas and never run after
a ball or toy that goes into a road
-Teach child safety rules of the road.


Elements of a Home Safety Fire Plan - ...ANSWER...✓✓ 1.
Have an exit plan
2. Ensure oxygen safety measures
3. Have fire extinguishers and make sure everyone knows
their location
4. Smoke detectors need batteries checked/changed
every 6 months

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