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NUR 400 Final Exam questions and answers 2024
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NUR 400 Final Exam questions and answers 2024
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NUR 400 Final Examquestions and answers 2024
S BAR
situation
what is happening in the current time
S B AR
background
what are the circumstances leading up to the situation
SB A R
assessment
what does the nurse think the problem is
SBA R
recommendation
what should we do to correct the problem
EHR
electronic health record
P LEASE
past medical history to include previous illnesses and state if health
P L EASE
last oral intake of liquids and food
in case of surgery
PL E ASE
events leading to illness and injury
what happened before you got sick
PLE A SE
allergies and type of reactions
PLEA S E
symptoms or chief complaint
what can i help you with
PLEAS E
,each prescribed medication, OTC medications and herbal supplements
interactions to other drugs
CN I (olfactory)
function
sense of smell
sensory
test
smell substance with eye closed
CN II (optic)
function
vision
test
Snellen chart
ophthalmoscopic exam
confrontation to check peripheral
vision
CN III (oculomotor)
function
controls most eye movements
pupil constriction and upper eyelid test
look side to side and inward
follow finger as moved towards their face
CN IV (trochlear)
function
downward eye movement
look up and down
CN V (trigeminal)
function
motor: mastication (biting and chewing)
sensory: facial sensation
test
apply pressure on forehead, cheek and jaw with cotton swab to check
sensation
ask patient to open their mouth then bite down
CN VI (abducens)
function
parallel eye movement
test
look inward and out
ask the patient to follow your finger
, CN VII (facial)
function
motor: facial expression
sensory: taste
test
ask client to make different facial expressions
test front of tongue by giving the patient sour, sweet. and bitter
substances
CN VIII (vestibulocochlear)
function
balance and hearing
test
stand with eyes closed
otoscopic exam
rinne and weber tests
CN IX (glossopharyngeal)
function
motor tonge movement and swallowing
sensory taste and sour
test
give patient sour bitter and salty substances
CN X (vagus)
function
motor swallowing speaking and coughing
sensory facial sensation
test the sensation of skin around the patients ear
CN XI (spinal accessory)
function
strength of neck and shoulder muscles
test
ask patient to rotate their head and shrug their shoulders
CN XII (hypoglossal)
function
tongue movement
test
inspect the patients tongue and ask them to stick their tongue out
cardiac inspection
cyanosis
pallor
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