Nursing 170; Exam 1 with Accurate
Solutions
Identify nursing actions for care of clients with sensory deprivation. - ANS-check on
them more, give activities, have family call/visit
Identify nursing actions for care of clients with sensory deficit. - ANS-use pictures,
describe where food is, keep clutter free
Identify nursing actions for care of clients with sensory overload. - ANS-Try to get all
things done in one trip, give eye masks/earplugs, own room, no extra equipment
Describe nursing assessment tools and techniques utilized for clients with sensory
deficits. - ANS-pictures, time to respond, check for hearing aids/glasses, write date on
food
Explain sensory deficits which may occur in a client diagnosed with a stroke. - ANS-
aphasia, hemiparesis, hemiplegiaglass
Describe nursing assessment techniques of the neurological system and
musculoskeletal system for clients across the lifespan. - ANS-glasgow coma scale,
sensory&motor function test, romberg test (balance), range of motion exercise
Plan nursing actions to prevent respiratory complications of immobility. - ANS-incentive
spirometer
Plan nursing actions to prevent integumentary complications of immobility. - ANS-
reposition, get up and move
Plan nursing actions to prevent musculoskeletal complications of immobility. - ANS-
exercise to prevent disuse syndrome (2hrs/24hrs)
Plan nursing actions to prevent cardiovascular complications of immobility. - ANS-have
patient sit up before moving them, compression socks, anti-coagulents
Identify potential complications of immobility. - ANS-thrombus, contractures, skin
integrity, orthostatic hypotension, constipation, UTI's
Describe the five steps of the nursing process when providing client care. - ANS-ADPIE
Solutions
Identify nursing actions for care of clients with sensory deprivation. - ANS-check on
them more, give activities, have family call/visit
Identify nursing actions for care of clients with sensory deficit. - ANS-use pictures,
describe where food is, keep clutter free
Identify nursing actions for care of clients with sensory overload. - ANS-Try to get all
things done in one trip, give eye masks/earplugs, own room, no extra equipment
Describe nursing assessment tools and techniques utilized for clients with sensory
deficits. - ANS-pictures, time to respond, check for hearing aids/glasses, write date on
food
Explain sensory deficits which may occur in a client diagnosed with a stroke. - ANS-
aphasia, hemiparesis, hemiplegiaglass
Describe nursing assessment techniques of the neurological system and
musculoskeletal system for clients across the lifespan. - ANS-glasgow coma scale,
sensory&motor function test, romberg test (balance), range of motion exercise
Plan nursing actions to prevent respiratory complications of immobility. - ANS-incentive
spirometer
Plan nursing actions to prevent integumentary complications of immobility. - ANS-
reposition, get up and move
Plan nursing actions to prevent musculoskeletal complications of immobility. - ANS-
exercise to prevent disuse syndrome (2hrs/24hrs)
Plan nursing actions to prevent cardiovascular complications of immobility. - ANS-have
patient sit up before moving them, compression socks, anti-coagulents
Identify potential complications of immobility. - ANS-thrombus, contractures, skin
integrity, orthostatic hypotension, constipation, UTI's
Describe the five steps of the nursing process when providing client care. - ANS-ADPIE
