Breakdown of gcs motor - Study guides, Class notes & Summaries

HESI GERIATRICS VERIFIED QUESTIONS AND ANSWERS 2022-2023 HESI GERIATRICS 2022-2023 A frail, elderly client is admitted to the unit with a diagnosis of pneumonia. Which finding is most important for the registered nurse (RN) to report to the healthcare provider? A. Fever and chills B. Confusion and dehydration C. Crackles in the lung fields D. Nausea and vomiting - B. Confusion and dehydration Rationale: Confusion and dehydration (B) are findings of ina...

CRRN Exam 677 Questions with Verified Answers Holistic Care - CORRECT ANSWER Incorporates the client's developmental needs, social networks, and lifestyle preferences. Gestalt Theory - CORRECT ANSWER States that the "Whole is greater than the sum of its parts." Pieces and parts fit together to produce thoughts, actions, and structures, such as family units. Advocates that the patient and entire family are assisted back to wellness. Developed by Max Wertheimer in the 1920's. Gardner ...

TCRN Quick Notes Exam 177 Questions with Verified Answers Trauma Assessment (A-I) - CORRECT ANSWER Rapid Assessment!! •Airway / Cervical spine (C-Spine) •Breathing - lung sounds •Circulation - IV access / blood transfusion •Disabilities - Neuro assessment /GCS/Pupil •Exposed/Environmental control •Full set of VS: Family •Give comfort measures L- labs, M- monitor, N-NG Tube, O-Oxygen, P-Pain Secondary Assessment starts now: •History & physical •Inspection Glas...

- -decreased LOC(lethargy to coma) -restlessness, irritability, confusion -headache -projectile N&V -change in speech pattern/slurred speech -dilated nonreactive pupils or constructed nonreactive pupils -ataxia -seizure -abnormal posturing -Cushing's triad: severe HTN, widened pulse pressure, bradycardia Key sx of increased ICP - Symptoms of increased ICP -severe HTN, widened pulse pressure, bradycardia What is Cushing's triad - Most at risk during 1st 72 hours after stroke o...

1 MED SURG EXAM 2 | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+ what should you absolute neutrophil count be (ANC) Correct Answer: neutropenia Correct Answer: ANC <1500 moderate neutropenia Correct Answer: ANC 500-999 severe neutropenia Correct Answer: ANC < 500 things to avoid if pt is neutropenic Correct Answer: - fresh cut flowers (wilt, die, grow mold) - processed meats, undercooked meats (food bourne illness) chemo & radiation Correct Answer: cannot d...

CNRN Terms Exam 277 Questions with Verified Answers Post-concussion syndrome - CORRECT ANSWER Short-term memory loss, emotional lability, and mental fatigue. Headache, dizziness, fatigue, irritability, anxiety, insomnia, loss of concentration, poor memory and light and noise sensitivity. Uncal herniation syndrome - CORRECT ANSWER form of herniation that involves downward displacement of the uncal portion of the temporal lobe, which is the most common type of herniation syndrome. Findings a...

PAM TCRN Exam 226 Questions with Verified Answers Initial assessment - CORRECT ANSWER A-J, airway first unless massive hemorrhage Open airway - manuever - CORRECT ANSWER Jaw thrust GCS 40 - CORRECT ANSWER E: spont, verbal, pressure, none V: orient, confused, words, sounds, none M: obeys, local, w/d, abnl flex, extension, none Pupils unreactive to light: -2, -1, 0 Monroe-Kellie Doctrine and CPP - CORRECT ANSWER When one content in the skull increases, another must decrease to compe...

Name the cranial nerves in order I. Olfactory II. Optic III. Oculomotor IV. Trochlear V. Trigeminal VI.Abducens VII. Facial VIII. Vestibulocochlear (Acoustic) IX. Glossopharyngeal X. Vagus XI. (Spinal) Accessory XII. Hypoglossal List the 3 parts of Glasgow Coma Scale Eye, verbal, motor. Breakdown of GCS Eye Score 4-Opens eyes spontaneously 3-Opens eyes in response to loud voice 2-Opens eyes in response to pain 1-None Breakdown of GCS Verbal Score 5-Oriented...

• -decreased LOC(lethargy to coma) -restlessness, irritability, confusion -headache -projectile N&V -change in speech pattern/slurred speech -dilated nonreactive pupils or constructed nonreactive pupils -ataxia -seizure -abnormal posturing -Cushing's triad: severe HTN, widened pulse pressure, bradycardia • Key sx of increased ICP • Symptoms of increased ICP -severe HTN, widened pulse pressure, bradycardia • What is Cushing's triad • Most at risk during 1st 72 hours ...

TNCC PrepA EXAM, 8th Edition Expedite transfer to the closest trauma center - ANS A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of the following is the priority intervention for this patient? a pertinent medical hx is crucial - ANS Which of the following considerations is the mo...