CN VI
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abducens
lateral movement of the eyes
,while you are administering the medication the patient begins to complain of pain at
the IV site what do you do?
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1. stop the IV
2. assess the IV for any signs of infiltration or phlebitis
type 2 pressure ulcer
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partial thickness
epidermis and dermis no fatty tissue is visible
superficial ulcer
abrasion or ulcer
When you are assessing muscle tone and strength what is the correct way to
document your findings?
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bilaterally 5+ on upper and lower extremities
,a person's foot is in __ when the toes are brought up as though to point them at the
knee
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dorsiflexion
the absence of strength secondary to nervous impairment is called?
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paralysis
You have a patient their urinary elimination is less than 50mL/day. What could be the
possible cause of this low urine output?
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kidney dysfunction
What clinical signs would you see if a wound is infected?
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redness, swelling, warmth
, how do you perform the romberg test?
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ask the patient to stand with feet together and eyes open
then have him/her close their eyes
if cerebral function is intact the patient can do this without swaying
(negative test)
what are some things the nurse can delegate to the UAP?
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basic care activities
bathing, grooming, ambulating, feeding
things like taking vital signs, measuring intake and output, weighing, simple
dressing changes, transfers, and post mortem care
in older adults they experience decreased secretion of enzymes and absorption of
nutrients that increase their risk for delayed wound healing what are some nursing
interventions to combat this?
Give this one a try later!
Give this one a try later!
abducens
lateral movement of the eyes
,while you are administering the medication the patient begins to complain of pain at
the IV site what do you do?
Give this one a try later!
1. stop the IV
2. assess the IV for any signs of infiltration or phlebitis
type 2 pressure ulcer
Give this one a try later!
partial thickness
epidermis and dermis no fatty tissue is visible
superficial ulcer
abrasion or ulcer
When you are assessing muscle tone and strength what is the correct way to
document your findings?
Give this one a try later!
bilaterally 5+ on upper and lower extremities
,a person's foot is in __ when the toes are brought up as though to point them at the
knee
Give this one a try later!
dorsiflexion
the absence of strength secondary to nervous impairment is called?
Give this one a try later!
paralysis
You have a patient their urinary elimination is less than 50mL/day. What could be the
possible cause of this low urine output?
Give this one a try later!
kidney dysfunction
What clinical signs would you see if a wound is infected?
Give this one a try later!
redness, swelling, warmth
, how do you perform the romberg test?
Give this one a try later!
ask the patient to stand with feet together and eyes open
then have him/her close their eyes
if cerebral function is intact the patient can do this without swaying
(negative test)
what are some things the nurse can delegate to the UAP?
Give this one a try later!
basic care activities
bathing, grooming, ambulating, feeding
things like taking vital signs, measuring intake and output, weighing, simple
dressing changes, transfers, and post mortem care
in older adults they experience decreased secretion of enzymes and absorption of
nutrients that increase their risk for delayed wound healing what are some nursing
interventions to combat this?
Give this one a try later!
