Neurovascular checks - Study guides, Class notes & Summaries

HESI PN EXIT EXAM 100% VERIFIED SOLUTIONS LATEST UPDATED VERSION The LPN/LVN is preparing to ambulate a postoperative client after cardiac surgery. The nurse plans to do which to enable the client to best tolerate the ambulation? - ANSWER Premedicate the client with an analgesic before ambulating. A client is wearing a continuous cardiac monitor, which begins to alarm at the nurse's station. The nurse sees no electrocardiographic complexes on the screen. The nurse should do which firs...

Sickle Cell Anemia: - Dx = Newborn Screening - Patient having extreme leg or abdominal pain = Give Morphine - Patient with pain and fever = Blood culture to test for infection - NO CURE, but possible bone marrow transplants - If a patient with sickle cell is in pain and has had pain med but still has a headache….CALL MD… patient could be having a stroke and needs a CT scan: on test - Management = KEEP HYDRATED and TREAT PAIN this exact answer option was on the test o No strenuous e...

A nurse is preparing to administer a transfusion of RBCs to a client who has heart failure. For which of the following manifestations should the nurse monitor to prevent fluid volume overload? (Select all that apply.) A. Dyspnea B. Gastrointestinal bloating C. Jugular vein distention D. Confusion E. Hypotension A. Dyspnea C. Jugular vein distention D. Confusion Dyspnea is a clinical manifestation of fluid volume overload. Jugular vein distention is a clinical manifestation of fluid ...

RN HESI Exit Exam Remediation Latest Update for 2023 with Rationales Graded A The nurse is caring for a client who has a fiberglass long leg cast on the right leg. Which nursing actions should be implemented in the cast care of this client? SATA a) Smelling the cast and feeling for the presence of hot spots on the cast. b) Checking neurovascular status of the right exposed foot and toes every four hours. c) Using a soft cotton-tipped 6-inch swab to help scratch beneath the cast. d) Plac...

When do we perform neurovascular checks? - Answer-- before and after fracture treatment - Regularly (q4-8 hours) on an extremity with a cast, splint with elastic bandage wrap, open reduction with external fixation or internal fixation. **test distal parts of extremities (i.e fingers and toes of whatever extremity cast is on) What do we assess for in a neurovascular check? - Answer-- assess circulation, movement, and sensation (CMS) in an extremity - If blood flow to a distal extremity is...

PEDS Exam 3 Review Questions with Revised Answers Nursing Care of Fractures - Answer-RICE = stabilize, immobilize, elevate, ice packs!! *Neurovascular assess, pain assess Open fractures = tetanus, antibiotics Casting = elevate, keep clean and dry, *moleskin to cover rough edges, should never be so tight you can't fit finger between cast and bone! Traction = weights hang freely, don't touch! Assess skin integrity. Assess pin sites Q4H. ROM, immobility. Cleft Lip - Answer-surg...

MDC 1 Final Exam Latest Update with Certified Solutions Osteoarthritis •Causing pain, stiffness, crepitus, aggravated weight-bearing, and joint use ■Chronic joint pain and stiffness is the common complaint ■Crepitus of the joint ■Atrophy of skeletal muscle from disuse ■Limp Rheumatoid arthritis (RA) ■Acute and severe or slow and progressive ■Early signs and symptoms -Joint inflammation -Generalized weakness -Fatigue -Anorexia -Weight loss -Persistent low-grade t...

MDC III Exam 3 Neurovascular checks pain, pallor, paresthesia, paralysis, pulselessness, pociothermia

What classes of medications can put an individual at increased risk for developing mobility issues? (3) - Corticosteroids (long-term use) - NSAIDs - Anticoagulants Differentiate between atrophy, hypertrophy, and flaccidity Atrophy - decrease in muscle size Hypertrophy - increase in muscle size Flaccidity - absence of muscle tone Define fasciculation Involuntary twitching What are the 5 P's of neurovascular checks? - Pain - Pallor - Pulse - Paresthesia - Paralysis What should the nurse educa...

functions of nervous system - √Answer :controls all motor sensory, autonomic, cognitive, behavioral activities Quiz :parasympathetic nervous system - √Answer :rest and digest : constricts the pupils Quiz :altered LOC - √Answer :most important indicator of pt condition cont from full alertness and full cognition to coma Quiz :coma - √Answer :unresponsive, unarousable, unresponsiveness Quiz :assess of altered LOC - √Answer :assess verbal response and orientation, alertness, mo...