100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
NURS 618 Med Surg Neuro Revised Exam With Clear Questions And Answers With Guaranteed A+ $32.99
Add to cart
Quickly navigate to
Preview
  2.  
  3. NURS 618 Med Surg Neuro
  4.  
  5. NURS 618 Med Surg Neuro

Exam (elaborations)

NURS 618 Med Surg Neuro Revised Exam With Clear Questions And Answers With Guaranteed A+

1 review
 0 purchase
  • Course
  • NURS 618 Med Surg Neuro
  • Institution
  • NURS 618 Med Surg Neuro

NURS 618 Med Surg Neuro Revised Exam With Clear Questions And Answers With Guaranteed A+ Pass REAL EXAM 1. The nurse is assessing the motor and sensory function of an unconscious client. The nurse should use which technique to test the client's peripheral response to pain? 1. Sternal rub 2....

[Show more]

Preview 4 out of 95  pages

Document information

  • July 25, 2023
  • 95
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers

Subjects

Written for

  • NURS 618 Med Surg Neuro
  • NURS 618 Med Surg Neuro

1  review

review-writer-avatar

By: BESTEXAMINER1 • 7 months ago

Seller

avatar-seller
chareiezekiel

Reviews received

Content preview

NURS 618 Med Surg Neuro Revised Exam
With Clear Questions And Answers With
Guaranteed A+ Pass
REAL EXAM
1. The nurse is assessing the motor and sensory function of an unconscious client. The

nurse should use which technique to test the client's peripheral response to pain?

1. Sternal rub

2. Nail bed pressure

3. Pressure on the orbital rim

4. Squeezing of the sternocleidomastoid muscle



Answer:

2. Nail bed pressure



Rationale:

Nail bed pressure tests a basic motor and sensory peripheral response. Cerebral

responses to pain are tested using a sternal rub, placing upward pressure on the orbital

rim, or squeezing the clavicle or sternocleidomastoid muscle.



2. The nurse is caring for the client with increased intracranial pressure. The nurse

would note which trend in vital signs if the intracranial pressure is rising?

1. Increasing temperature, increasing pulse, increasing respirations, decreasing blood

,pressure

,2. Increasing temperature, decreasing pulse, decreasing respirations, increasing blood

pressure

3. Decreasing temperature, decreasing pulse, increasing respirations, decreasing blood

pressure

4. Decreasing temperature, increasing pulse, decreasing respirations, increasing blood

pressure



Answer:

2. Increasing temperature, decreasing pulse, decreasing respirations,

increasing blood pressure



Rationale:

A change in vital signs may be a late sign of increased intracranial pressure. Trends

include increasing temperature and blood pressure and decreasing pulse and

respirations. Respiratory irregularities also may occur.



3. A client recovering from a head injury is participating in care. The nurse determines

that the client understands measures to prevent elevations in intracranial pressure if the

nurse observes the client doing which activity?

1. Blowing the nose

2. Isometric exercises

3. Coughing vigorously

4. Exhaling during repositioning

, Answer:

4. Exhaling during repositioning



Rationale:

Activities that increase intrathoracic and intraabdominal pressures cause an indirect

elevation of the intracranial pressure. Some of these activities include isometric

exercises, Valsalva's maneuver, coughing, sneezing, and blowing the nose. Exhaling

during activities such as repositioning or pulling up in bed opens the glottis, which

prevents intrathoracic pressure from rising.



4. A client has clear fluid leaking from the nose following a basilar skull fracture. Which

finding would alert the nurse that cerebrospinal fluid is present?

1. Fluid is clear and tests negative for glucose.

2. Fluid is grossly bloody in appearance and has a pH of 6.

3. Fluid clumps together on the dressing and has a pH of 7.

4. Fluid separates into concentric rings and tests positive for glucose.



Answer:

4. Fluid separates into concentric rings and tests positive for glucose.



Rationale:

Leakage of cerebrospinal fluid (CSF) from the ears or nose may accompany basilar skull

fracture. CSF can be distinguished from other body fluids because the drainage will

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller chareiezekiel. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $32.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

69052 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling
$32.99
  • (1)
Add to cart
Added