1|Page
NUR 2356 MDC 1 Final Exam 2026 Update ||Verified
Exam!!||NUR2356 Multidimensional Care 1 Final Exam
Version A & B With Complete 300 Questions And
Correct Detailed Answers|| Newest Exam!!!
How do you decontaminate a person with lead poisoning?
- Answer-Xray of GI tract to see of lead is there. if it is,
they flush it out to stop absorption
when to use Chelation therapy for lead poisoning -
Answer--45-69 mcg/dL outpatient therapy with oral
succorer and parenteral disodium calcium edetate
->70 Hospitalization with dimercaprol and disodium
calcium EDTA
-Monitor urinary output (possibly on 24 hour urine
collection)
What do patients who have lead poisoning need in their
diet? - Answer-Adequate calcium, iron, and vitamin C
Chelation drugs - Answer-1.Edetate calcium disodium
(CaNA2EDTA)
2.Succimer (Chemet)
,2|Page
3.Dimercaprol (BAL in Oil)
Information on Chelation drug Edetate calcium disodium
(CaNA2EDTA) - Answer--Given IM or IV for 5 days
- Increase lead concentrations in CNS resulting in
encephalopathy in its with BLL >70 mcg/dL, used in
combination with dimercaprol
Information on chelation drug Succimer (Chemet) -
Answer--Given po every 8hrs x 5 days, then every 12
hours x 2 wks
-Capsules contain small beads that can be mixed with
food. Cannot be given through a syringe
Information on chelation drug Dimercaprol (BAL in Oil) -
Answer--Drug of choice in severe lead toxicity cases (BLL
>70)
-IM every 4 hours with CaNA2EDTA started with dose 2
-Do not give with peanut allergy because it is made with
peanut oil
-No iron supplements if receiving Dimercaprol because it
can form toxic complex if mixed with iron
,3|Page
Nursing interventions with lead poisoning - Answer-
Monitoring parameters
-Blood lead levels
-Monitor fluid intake and urine output
-Seizure precautions
Dietary Considerations
-High iron
-Limit milk intake to 24 hours
-Adequate calcium and vitamin c
Prevention - screening
-Nutrition education: iron rich foods, calcium rich foods,
vitamin c rich foods
Define sickle cell disease - Answer-Sickle cell disease is a
group of disorders that affects hemoglobin. People with
this disorder have atypical hemoglobin molecules called
hemoglobin S, which can distort red blood cells into a
sickle or crescent shape
What is normal adult hemoglobin? - Answer-Hemoglobin A
, 4|Page
What is the primary hemoglobin produced by the fetus? -
Answer-Hemoglobin F
When does Hemoglobin F transfer into Hemoglobin A? -
Answer-Around 1-2 years old
Hemoglobin F does what to sickling of red blood cells? -
Answer-inhibits the sickling
Define hemoglobinopathy - Answer-A hemoglobin
abnormality is a variant form of hemoglobin that is often
inherited and may cause a blood disorder
(abnormal production or structure of hemoglobin
molecules)
What is the primary hemoglobin in patients with sickle cell
anemia? - Answer-Hemoglobin S
What causes increased production of Hemoglobin F? And
why? - Answer-Hydroxurea because it causes
immunosuppression and it acts like a chemo drug
NUR 2356 MDC 1 Final Exam 2026 Update ||Verified
Exam!!||NUR2356 Multidimensional Care 1 Final Exam
Version A & B With Complete 300 Questions And
Correct Detailed Answers|| Newest Exam!!!
How do you decontaminate a person with lead poisoning?
- Answer-Xray of GI tract to see of lead is there. if it is,
they flush it out to stop absorption
when to use Chelation therapy for lead poisoning -
Answer--45-69 mcg/dL outpatient therapy with oral
succorer and parenteral disodium calcium edetate
->70 Hospitalization with dimercaprol and disodium
calcium EDTA
-Monitor urinary output (possibly on 24 hour urine
collection)
What do patients who have lead poisoning need in their
diet? - Answer-Adequate calcium, iron, and vitamin C
Chelation drugs - Answer-1.Edetate calcium disodium
(CaNA2EDTA)
2.Succimer (Chemet)
,2|Page
3.Dimercaprol (BAL in Oil)
Information on Chelation drug Edetate calcium disodium
(CaNA2EDTA) - Answer--Given IM or IV for 5 days
- Increase lead concentrations in CNS resulting in
encephalopathy in its with BLL >70 mcg/dL, used in
combination with dimercaprol
Information on chelation drug Succimer (Chemet) -
Answer--Given po every 8hrs x 5 days, then every 12
hours x 2 wks
-Capsules contain small beads that can be mixed with
food. Cannot be given through a syringe
Information on chelation drug Dimercaprol (BAL in Oil) -
Answer--Drug of choice in severe lead toxicity cases (BLL
>70)
-IM every 4 hours with CaNA2EDTA started with dose 2
-Do not give with peanut allergy because it is made with
peanut oil
-No iron supplements if receiving Dimercaprol because it
can form toxic complex if mixed with iron
,3|Page
Nursing interventions with lead poisoning - Answer-
Monitoring parameters
-Blood lead levels
-Monitor fluid intake and urine output
-Seizure precautions
Dietary Considerations
-High iron
-Limit milk intake to 24 hours
-Adequate calcium and vitamin c
Prevention - screening
-Nutrition education: iron rich foods, calcium rich foods,
vitamin c rich foods
Define sickle cell disease - Answer-Sickle cell disease is a
group of disorders that affects hemoglobin. People with
this disorder have atypical hemoglobin molecules called
hemoglobin S, which can distort red blood cells into a
sickle or crescent shape
What is normal adult hemoglobin? - Answer-Hemoglobin A
, 4|Page
What is the primary hemoglobin produced by the fetus? -
Answer-Hemoglobin F
When does Hemoglobin F transfer into Hemoglobin A? -
Answer-Around 1-2 years old
Hemoglobin F does what to sickling of red blood cells? -
Answer-inhibits the sickling
Define hemoglobinopathy - Answer-A hemoglobin
abnormality is a variant form of hemoglobin that is often
inherited and may cause a blood disorder
(abnormal production or structure of hemoglobin
molecules)
What is the primary hemoglobin in patients with sickle cell
anemia? - Answer-Hemoglobin S
What causes increased production of Hemoglobin F? And
why? - Answer-Hydroxurea because it causes
immunosuppression and it acts like a chemo drug
