Which set of vital signs should the nurse recognize as out of the expected range?
1. 42-year-old man: BP, 114/82; pulse, 74 beats/min; respiration, 16 breaths/min; temperature, 36.8° C
2. 11-year-old girl: pulse, 88 beats/min; respiration, 22 breaths/min; temperature, 36.7° C
3. 3-year-old boy: pulse, 130 beats/min; respiration, 44 breaths/min; temperature, 36.7° C
4. 1-month-old girl: pulse, 120 beats/min; respiration, 42 breaths/min; temperature, 36.7° C
How does the nurse palpate the chest for tenderness, bulges, and symmetry?
1. Uses the fist of the dominant hand to gently tap the anterior, lateral, and posterior chest, comparing one side with another
2. Uses the ulnar surface of one hand to palpate the anterior, posterior, and lateral chest, comparing one side with another
3. With the tips of the fingers, palpates the skin over the chest and the alignment of vertebrae
4. With the palmar surface of fingers of both hands, feels the consistency of the skin over the chest and the alignment of vertebrae
The nurse is charting on a patient's eye assessment and notes PERRLA. What does this stand for?
A. Pupils Equal, Rigid, React to Light, and Accessible
B. Pupils Even, Right, React to Light, and Accomodation
C. Pupils Equal, Round, React to Light and Accomodation
D. Pupils Even, Rigid, Restrict from Light, and Accomodation
correct answer is B.
Some older men withdraw from intimacy due to the loss of a spouse, depression, preoccupation with work, marital or family conflicts, side effect of medication such as antihypertensives, antidepressants, sedatives, narcotics, etc., heavy alcohol use, lack of privacy (living with adult children or in a nursing home), economic or emotional stress, poor nutrition or fatigue.
The nurse is calling the health care provider about a patient's changing condition. Which of the following would be included in
the SBAR communication?
A. Situation, Background, Assessment, and Recommendation
SBAR communication stands for Situation, Background, Assessment, and Recommendation.
B. Subjective information, Background, Assessment, and Revisions needed
C. Situation, Background, All vitals, and Review of orders
D. Summary, Better plan, Accurate diagnosis, and Rights
Upgrade to remove ads
Only ₩37,125/year
-
Flashcards
-
Learn
-
Test
-
Match
-
Flashcards
-
Learn
-
Test
-
Match
Terms in this set (3)
When examining a patient's cranial nerve (CN) function, the nurse remembers that the muscles in the neck that are innervated by CN XI( Spinal Accessory) are the:
sternomastoid and trapezius.
A patient comes to the clinic complaining of neck and shoulder pain and is unable to turn her head. The nurse suspects damage to cranial nerve (CN) _____ and proceeds with the examination by _____.
XI; asking the patient to shrug her shoulders against resistance
During ocular examinations, the nurse keeps in mind that movement of the extraocular muscles is:
stimulated by cranial nerves III, IV, and VI.
Rationale:
-Cranial nerve III
(oculomotor) controls the inferior oblique, superior rectus and inferior rectus eye muscles.
-Cranial nerve IV (Trochlear) control the superior oblique eye muscle.
-Cranial nerve VI (Abducens) controls them lateral rectus muscle.
NUR102 Ch. 39 Self-Concept
25 terms
peckelli
Chapter 15 Health Assessment quiz
41 terms
karencrist
Chapter 14
41 terms
trevor50020
Chapter 21 JARVIS
41 terms
abk_05
Sets found in the same folderChapter 22: Musculoskeletal System
51 terms
Maggie_Lavery1
Chapter 09: General Survey, Measurement, Vital Sig…
52 terms
MsXmasPlus
Chapter 19: Heart and Neck Vessels
36 terms
lovepink2112
Chapter 15 Health Assessment quiz
41 terms
karencrist
Other sets by this creatorHyperparathyroidism VS Hypoparathyroidism
5 terms
tiffany_blackburn3
Hypothyroidism
5 terms
tiffany_blackburn3
Hyperthyroidism/Grave's disease
7 terms
tiffany_blackburn3
Addison's disease (Hyposecretion of the adrenal gl…
6 terms
tiffany_blackburn3
Other Quizlet setsPA State Police
15 terms
Baxter200178
Ch. 4 Communications and Documentation quiz
20 terms
Meka_EMT
Bio 140
49 terms
theElizabeth2216