Prn1725 Study guides, Class notes & Summaries

PRN1725 Client-Centered Care IV Exam 1 Review

QUESTION During the initial assessment of a neurological disorder you should obtain Answer: baseline vitals QUESTION level of consciousness Answer: a patient's responsiveness QUESTION Glasgow coma scale (GCS) Answer: eye-opening motor and verbal response, scores range from 3-15 QUESTION Pupils - PERRLA Answer: pupils equal, round, reactive to light and accommodationQUESTION types of head injuries Answer: concussion, contusion, subdural hematoma, epidural hematoma, intracranial...

QUESTION Common side effects of opioids? Answer: Constipation QUESTION Early sign of shock in an elderly patient? Answer: Restlessness QUESTION How would you describe the recovery position? Answer: Side lying QUESTION Which best describes the purpose of incentive spirometer? Answer: Helps prevent atelectasisQUESTION

QUESTION what is the best neurological indicator of a patient's current condition Answer: level of consciousness QUESTION contusion Answer: bruise, can lead to increased ICP. QUESTION coup-contrecoup injury Answer: A brain injury that occurs when force is applied to the head. coup is the head being thrown forward while contre-coup is the head being thrown back. QUESTION subdural hematoma Answer: collection of blood under the dura mater. venous injury will bleed slowly. symptoms ...

QUESTION What is the purpose of triage? Answer: Prioritization of pts. QUESTION Which of these is a red tag triage? Answer: An adult with a large femoral laceration with a BP of 70/42. QUESTION Black tag triage is what? Answer: Terminal QUESTION Which of these would be a green tag? Answer: A sprained ankle

QUESTION Prioritization: Who would you see first? A. 30 y/o 24hrs post appendectomy B. 35 y/o with recent diagnosis of Gullein-Barre C. 55 y/o 3 days post MI D. 48 y/o with diverticulitis Answer: B. QUESTION Signs and Symptoms of ICP Answer: Lethargy QUESTION Fall Risk Interventions Answer: -call light within reach -bed alarm -bedside table within reach -room close to nursing station -nonskid socks & wristband -patient/family education -hourly rounding -fall matQUESTION Wh...

QUESTION a nurse is caring for a client who is experiencing auditory hallucinations. Which of the following responses should the nurse make first? Answer: the nurse needs to recognize that this is something they are experiences so they might say "i do not hear what you are hearing" QUESTION A nurse is caring for a client who just experienced a generalized seizure. Which of the following actions should the nurse perform first? Answer: -make sure they are safe -LOC -stay with the per...

QUESTION • Shock - As a nurse, how do you recognize shock in your patient? • What are the early and late signs and symptoms? Cardiogenic shock - Know the causes (risk factors) Answer: MI/Heart attack CHF Hypertension Peripheral vascular disease • Kidney disease Type 2 diabetes QUESTION o Know the signs and symptoms Answer: MI symptoms seen initially Chest pain Jaw pain Diaphoresis (sweating) Nausea Dizziness Pallor Peripheral edema Irregular heartbeat Lung congestion QUESTION Hy...