Exam 1: NUR 2356/ NUR2356 Multidimensional Care I/ MDC 1 Exam Review | Complete Guide with Verified Answers| 2023/ 2024 Update | Rasmussen

Exam 1: NUR 2356/ NUR2356 Multidimensional Care I/ MDC 1 Exam Review | Complete Guide with Verified Answers| 2023/ 2024 Update | Rasmussen Q: What is the first action you would take if a patient were ambulating to the bathroom and states," I feel dizzy." Answer: Lay patient back down Q: If a patient has delirium, stating "Where am I?" What is the nurse's first intervention? Answer: Reorient the patient to reality; provide a safe environment Q: ABCDE Answer: Airway Breathing Circulation Disability Exposure/Environment Q: How often should restraints be released? Answer: Every 2 hours to provide skin care, passive and active range of motion (ROM), ambulation, toileting, hydration, and nutrition. Assess for the continued need for restraint. Q: When using restraints, you should assess for Answer: Answer: Circulation, and skin integrity. Observe for pallor, cyanosis, and coolness of extremities when extremities are restrained. Q: Check the restraint every minutes. Answer: 30 Q: Restraint orders are only good for Answer: 24 hrs then check to see if prescription is renewed. Q: What qualifies siderails as a restraint? Answer: it inhibits the patients mobility Q: Metabolic acidosis may be caused by Answer: - Retained acids in the blood resulting from renal impairment, poorly controlled diabetes mellitus, or starvation. - Conditions that decrease bicarbonate, such as excessive GI loss. - May be caused by excessive intake of acids, which may occur with aspirin poisoning, or by prolonged infusion of chloride-containing IV fluids. Q: HCO3 (bicarb) normal range Answer: 22-26 mEq/L