Exam 1: NUR 2392/ NUR2392
Multidimensional Care II Exam 1:
Complete Guide with Verified Answers
(2023/ 2024 Update)
- Nursing Role of Hospice Care in Oncology
~ Answer:: – End of life care
~ Goal – improve quality of life for the patient in their final days
~ Supportive care to pt. to relieve symp. of cancer
~ Support system for pt. & family
~ Hospital, hospice facility, or home setting
~ Therapy, counseling, financial/emotional support to pt. & family - Strategies of Multidimensional Nursing Care
~ Answer:: – Focuses on pt. & family as a unit
~ Determined based on individual pt. & family needs
~ Diagnosis
~ Treatment options
~ Care Coordination - Nursing Care Multidimensional Strategies
~ Answer:: – Performs assessments
~ Communicates findings to provider
~ Chemo, other meds
~ Identify pt. & family needs
~ Provides education & counseling to pt. & family - Care Management/Social Worker Multidimensional Strategies
~ Answer:: – Assists pt. from diagnosis & throughout treatment
process
~ Work w/ pt. & family to identify needs
~ Secure counseling, financial, and other support services
~ Provide Info regarding support groups/counseling - Dietician Multidimensional Strategies
~ Answer:: Provides recommendation to pt. to support nutritional
health during disease & treatment process
- Therapy Multidimensional Strategies
~ Answer:: Physical, occupational, speech, recre- ational - Etiology of Hypervolemia
~ Answer:: Heart failure, excess fluid intake, renal failure, increased sodium intake - Etiology of Hypovolemia
~ Answer:: inadequate intake, nausea, vomiting, diarrhea, meds
~ diuretics, bleeding, fever - Etiology of Hypernatremia
~ Answer:: dehydration, decreased water intake, excessive water
intake, DI - Etiology of Hyponatremia
~ Answer:: excessive water intake, SIADH, increase in ADH,
profuse diaphoresis, fluid volume depletion - Etiology of Hyperkalemia
~ Answer:: Renal failure, meds – steroids, ACE inhibitors, diuretics, potassium supplements, burns, trauma, rhabdomyolysis,
metabolic acido- sis, ketoacidosis - Etiology of Hypokalemia
~ Answer:: diabetic ketoacidosis, acute kidney failure, medsdiuretics, beta blockers, laxatives, fluid volume depletion,
magnesium deficiency, cushing’s disease - Etiology of Hypercalcemia
~ Answer:: addison’s disease, paget’s disease, excessive in- take of
calcium, hyperthyroidism, sarcoidosis, meds – lithium, tamoxifen,
thiazide, diuretics - Etiology of Hypocalcemia
~ Answer:: hypoparathyroidism, pancreatitis, sepsis, liver dis- ease,
renal failure, hyperphosphatemia, Vit. D deficiency, magnesium
deficiency - Etiology of Hypermagnesemia
~ Answer:: dehydration, addison’s disease, hyperparathy- roidism,
hypothyroidism, kidney failure, acidosis
- Etiology of Hypomagnesemia
~ Answer:: IBS, alcoholism, hyperparathyroidism, malnu- trition,
kidney disease, pancreatitis, meds – diuretics, digoxin, cisplatin,
cyclosporine - Common Labs for Electrolyte & Fluid Imbalance
~ Answer:: – Serum Sodium, potassi- um, calcium, magnesium,
phosphate
~ BUN
~ Creatinine
~ HGB
~ HCT
~ Urine Osmolality
~ Urine Sodium, potassium
~ Urine specific gravity
~ ABG
~ Glucose
~ Protein
~ Albumin
~ Parathyroid hormone test
~ Calcium level ionized
~ Creatine Kinase Level - Nursing Assessment for Hypervolemia
~ Answer:: wt. gain, HTN, tachycardia, periph- eral edema,
pulmonary edema, jugular vein distension, carackles, decrease
urine output, clammy skin - Nursing Assessment for Hypovolemia
~ Answer:: tachycardia, hypotension, increased thirst, decreased
urine output, poor skin turgor, dry mucous membrane, flattened
neck veins - Nursing Assessment for Hypernatremia
~ Answer:: Restless, change in mental status, seizure activity,
tremors, nausea, vomiting, increased thirst, increased capillary
refill, decreased skin turgor - Nursing Assessment for Hyponatremia