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MDC Exam 2 Review

Total questions: 15

Worksheet time: 11mins

Name
Class
Date
1.

When caring for a client who has the following blood gas results, which of these interventions does the nurse plan to use to correct the acid base disturbance? pH 7.51; pCO2 38 mmHg; HCO3 29mEq/L; pO2 88mmHg

a)

Apply oxygen

b)

Endotracheal suctioning

c)

Administer an antiemetic

d)

Administer sodium bicarbonate

2.

In the treatment of a patient with diabetic ketoacidosis. The nurse will monitor closely for what possible electrolyte imbalance?

a)

Hypokalemia

b)

Hyperphosphatemia

c)

Dehydration

d)

Hypocalcemia

3.

A patient has the following arterial blood gases: pH 7.32; CO2 36; HCO3 18. Which of the following symptoms would expect the patient to exhibit?

a)

Hypoventilation

b)

Muscle twitching

c)

Headache

d)

Prolonged muscle spasms

4.

The nurse is caring for a client who developed respiratory acidosis post surgery. Which of these interventions will the nurse use to help correct this problem?

a)

Administer Narcan

b)

Encourage use of the incentive spirometer

c)

Encourage fluid intake

d)

Medicate for pain

5.

A client develops fluid overload while in the intensive care unit. Which position should the nurse place the patient in to promote lung expansion and oxygenation?

a)

Supine

b)

Lateral or side-lying

c)

Trendelenburg

d)

Head of bed elevated

6.

Identify the following arterial blood gas: pH 7.48; CO2 48; HCO3 29

a)

Metabolic alkalosis, partially compensated

b)

Normal blood gas

c)

Respiratory alkalosis, uncompensated

d)

Respiratory alkalosis, partially compensated

7.

A client is diagnosed with end stage renal disease. The client is most likely to experience what acid-base imbalance?

a)

Respiratory alkalosis

b)

Respiratory acidosis

c)

Metabolic alkalosis

d)

Metabolic acidosis

8.

Furosemide (Lasix) has been ordered for a client with heart failure, shortness of breath, and 2+ pitting edema to the lower extremities. Which assessment by the nurse indicates that the medication has been effective?

a)

Serum potassium level is 5.4 mEq/L

b)

Heart rate is 112 beats per minute

c)

Weight gain of 1.5 pounds

d)

The client has no adventitious breath sounds

9.

A mother is concerned that her child got her hand on an aspirin bottle and ingested some of the tablets. The nurse will be on the look out for what acid-base imbalance? (select all that apply)

a)

Respiratory alkalosis

b)

Respiratory acidosis

c)

Metabolic alkalosis

d)

Metabolic acidosis

10.

Which of the following would be an example of a secondary stomatitis in a patient?

a)

A patient taking antirejection medications for a kidney transplantation

b)

A patient taking Acyclovir to treat shingles

c)

A patient that developed a canker sore inside their lip

d)

A patient accidentally biting their cheek while chewing.

11.

Which of the following is NOT true when it comes to the Erythroplakia?

a)

More malignant changes than leukoplakia

b)

Appears red, velvety mucosal lesions

c)

Less malignant changes than leukoplakia

d)

More common on the floor of the mouth, tongue, palate, and mandibular mucosa

12.

Some patients when they are on antibiotic therapy will develop oral candidiasis and infection caused by

a)

a protozoan parasite

b)

a fungus

c)

a bacteria

d)

a virus

13.

Which of the following are factors that contribute to GERD? (select all that apply)

a)

Caffeinated drinks

b)

Chocolate

c)

Alcohol

d)

Smoking

14.

Which of the following are treatments for a patient diagnosed with H. pylori infection causing PUD. (Select all that apply)

a)

NSAID pain medication

b)

2 antibiotics

c)

Oxygen therapy

d)

1 proton-pump inhibitor

15.

A patient is experiencing acute GI pain and the physician has ordered a bland diet. Which of the following should the nurse avoid on the patient's breakfast tray? (select all that apply)

a)

Toast

b)

Coffee

c)

Bananas

d)

Orange juice