Foundations Final Jersey College
Hypoxia - ANS-deficiency in the amount of oxygen reaching the tissues
Auscultation - ANS-to listen
Palpation - ANS-an examination technique in which the examiner's hands are used to
feel the texture, size, consistency, and location of certain body parts
percussion - ANS-tapping on a surface to determine the difference in the density of the
underlying structure
Piece of equipment is used to perform the Weber test and Rinne test - ANS-Tuning Fork
Weber's test and Rinne's test are performed in order to assess - ANS-Sound
Conduction (deafness)
When assessing a "PT" eye, which instrument would the nurse use to visualize the
retina - ANS-Ophtalmoscope
ophtalmoscope - ANS-instrument for examining the interior of the eye, especially the
retina
percutaneous - ANS-through the skin
The nurse performs a comprehensive assessment of a newly admitted client. What is
the primary purpose of this admission assessment - ANS-Identify baseline data
Comprehensive assessment - ANS-The comprehensive assessment is conducted when
a client first enters the health care setting to obtain baseline information that can be
used for comparison to later assessments.
When assessing the glossopharyngeal nerve, it is most important for the nurse to
implement which intervention - ANS-The clients ability to swallow
cranial nerves - ANS-12 pairs of nerves that carry messages to and from the brain
Cranial Nerve 1 - ANS-Olfactory (smell)
,Cranial Nerve 2 - ANS-Optic - vision
Cranial Nerve 3 - ANS-Oculomotor (eye movement)
Cranial Nerve 4 - ANS-Trochlear (eye movement)
Cranial Nerve 5 - ANS-Trigeminal
Cranial Nerve 6 - ANS-Abducens (motor)
Cranial Nerve 7 - ANS-facial nerve
Cranial Nerve 8 - ANS-Vestibulocochlear
Cranial Nerve 9 - ANS-Glossopharyngeal
Cranial Nerve 10 - ANS-Vagus
Cranial Nerve 11 - ANS-Accessory (motor)
Cranial Nerve 12 - ANS-Hypoglossal (tongue movement)
popping sounds heard on auscultation of the lungs - ANS-crackles
Hepatitis - ANS-inflammation of the liver
Hepatitus B Virus - ANS-Virus caused by contact with bodily fluids and can cause
scarring of the liver, liver failure, cancer, or death.
Assessment - ANS-Before the nurse can determine what care a person requires, the
nurse must determine the client's needs and problems. This requires the use of
assessment skills and data collection, which include interviewing, observing, and
examining the client, and in some cases, the client's family. Following the assessment,
the nurse can also use the client's medical record and contact other healthcare
providers.
When using an interpreter - ANS-The nurse should observe the cues the client
expresses with body language, and listen to the tone of voice.
, Tugor - ANS-skins elasticity; poor elasticity seen when skin remains pinched (slowly
unfolds) sign of dehydration
Chlorhexidine - ANS-an antibacterial compound with substantial residual activity that is
used as a liquid antiseptic and disinfectant
arterial blood pressure - ANS-Arterial blood pressure (ABP), a basic hemodynamic
index, is often used to guide therapeutic interventions in critically ill patients
peripheral venous catheter - ANS-a peripheral venous catheter, peripheral venous line
or peripheral venous access catheter is a catheter placed into a peripheral vein for
intravenous therapy such as medication fluids. Upon insertion, the line can be used to
draw blood
Edema happens when there is which fluid volume imbalance? - ANS-extracellular fluid
volume excess
Anemia - ANS-a deficiency of red blood cells
pallor - ANS-Extreme or unnatural paleness
Appropriate Levels - ANS-Potassium
3.5-5.0
Phosphorus
2.5-4.5
Magnesium
1.3-2.3
Sodium
135-145
Chloride
97-107
Calcium
8.6-10.2
Bicarbonate
Hypoxia - ANS-deficiency in the amount of oxygen reaching the tissues
Auscultation - ANS-to listen
Palpation - ANS-an examination technique in which the examiner's hands are used to
feel the texture, size, consistency, and location of certain body parts
percussion - ANS-tapping on a surface to determine the difference in the density of the
underlying structure
Piece of equipment is used to perform the Weber test and Rinne test - ANS-Tuning Fork
Weber's test and Rinne's test are performed in order to assess - ANS-Sound
Conduction (deafness)
When assessing a "PT" eye, which instrument would the nurse use to visualize the
retina - ANS-Ophtalmoscope
ophtalmoscope - ANS-instrument for examining the interior of the eye, especially the
retina
percutaneous - ANS-through the skin
The nurse performs a comprehensive assessment of a newly admitted client. What is
the primary purpose of this admission assessment - ANS-Identify baseline data
Comprehensive assessment - ANS-The comprehensive assessment is conducted when
a client first enters the health care setting to obtain baseline information that can be
used for comparison to later assessments.
When assessing the glossopharyngeal nerve, it is most important for the nurse to
implement which intervention - ANS-The clients ability to swallow
cranial nerves - ANS-12 pairs of nerves that carry messages to and from the brain
Cranial Nerve 1 - ANS-Olfactory (smell)
,Cranial Nerve 2 - ANS-Optic - vision
Cranial Nerve 3 - ANS-Oculomotor (eye movement)
Cranial Nerve 4 - ANS-Trochlear (eye movement)
Cranial Nerve 5 - ANS-Trigeminal
Cranial Nerve 6 - ANS-Abducens (motor)
Cranial Nerve 7 - ANS-facial nerve
Cranial Nerve 8 - ANS-Vestibulocochlear
Cranial Nerve 9 - ANS-Glossopharyngeal
Cranial Nerve 10 - ANS-Vagus
Cranial Nerve 11 - ANS-Accessory (motor)
Cranial Nerve 12 - ANS-Hypoglossal (tongue movement)
popping sounds heard on auscultation of the lungs - ANS-crackles
Hepatitis - ANS-inflammation of the liver
Hepatitus B Virus - ANS-Virus caused by contact with bodily fluids and can cause
scarring of the liver, liver failure, cancer, or death.
Assessment - ANS-Before the nurse can determine what care a person requires, the
nurse must determine the client's needs and problems. This requires the use of
assessment skills and data collection, which include interviewing, observing, and
examining the client, and in some cases, the client's family. Following the assessment,
the nurse can also use the client's medical record and contact other healthcare
providers.
When using an interpreter - ANS-The nurse should observe the cues the client
expresses with body language, and listen to the tone of voice.
, Tugor - ANS-skins elasticity; poor elasticity seen when skin remains pinched (slowly
unfolds) sign of dehydration
Chlorhexidine - ANS-an antibacterial compound with substantial residual activity that is
used as a liquid antiseptic and disinfectant
arterial blood pressure - ANS-Arterial blood pressure (ABP), a basic hemodynamic
index, is often used to guide therapeutic interventions in critically ill patients
peripheral venous catheter - ANS-a peripheral venous catheter, peripheral venous line
or peripheral venous access catheter is a catheter placed into a peripheral vein for
intravenous therapy such as medication fluids. Upon insertion, the line can be used to
draw blood
Edema happens when there is which fluid volume imbalance? - ANS-extracellular fluid
volume excess
Anemia - ANS-a deficiency of red blood cells
pallor - ANS-Extreme or unnatural paleness
Appropriate Levels - ANS-Potassium
3.5-5.0
Phosphorus
2.5-4.5
Magnesium
1.3-2.3
Sodium
135-145
Chloride
97-107
Calcium
8.6-10.2
Bicarbonate
