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Which of the following assessments would result in you scoring the
patient as a "P" using the AVPU mnemonic?
A. The pupils are equal and reactive to light.
B. Pain occurs when the patient lifts his left arm.
C. Painful stimuli elicit no patient response.
D. The patient exhibits abnormal flexion in response to a sternal rub.
-ANSWER-D
The P component in the AVPU mnemonic stands for pain, which means
the patient does not respond to voice, but does respond to a painful
stimulus, such as a sternal rub. Pain occurs when the patient lifts his left
arm reflects the A component (for alert), in which the patient is awake,
alert, and responsive. Painful stimulus elicits no patient response
reflects the U component (for unresponsive), in which the patient does
not respond to voice or a painful stimulus. The pupils are equal and
reactive to light reflects pupillary assessment. This is not part of the
AVPU mnemonic, which determines the gross level of consciousness.
An obstetric patient is prone to which airway problem?
,A. Nosebleeds
B. Occluded lower airway
C. Airway obstruction by a foreign body
D. Sleep apnea -ANSWER-A
Capillary engorgement of airway mucosa predisposes obstetric patients
to nosebleeds and airway obstruction. The upper and lower airways are
smaller in pediatric patients and can easily become occluded. Loose
partial plates or dentures may cause airway obstruction in geriatric
patients. The large neck circumference of bariatric patients can cause
obstructive sleep apnea.
Which disorder is a possible cause of a decreased level of
consciousness?
A. Deep vein thrombosis
B. Infection
C. Diverticulosis
D. Peptic ulcer disease -ANSWER-B
Infection can alter the level of consciousness. AEIOU-TIPPS is a helpful
mnemonic for investigating potential causes of a decreased level of
consciousness. The AEIOU-TIPPS stand for alcohol, epilepsy or
electrolytes, insulin (hypoglycemia or hyperglycemia), opiates, uremia,
trauma, infection, poison, psychosis, and syncope. The other answer
, options do not pose a threat to mental status unless the disorders
progress and complications arise.
Which statement accurately characterizes pulse oximetry
measurement?
A. Hypotension does not affect the accuracy of the reading.
B. The two light sources should be positioned directly opposite the
photo detector.
C. Pulse oximetry readily evaluates the pulse quality.
D. Pulse oximetry accurately assesses respiratory status. -ANSWER-B
To obtain an accurate pulse oximetry reading, proper placement of the
two light sources directly opposite the photo detector is essential. Pulse
oximetry may not provide accurate readings in patients with
hypotension, anemia, and certain other disorders. Although some
models provide an audible signal to indicate an irregular pulse, they
cannot determine the pulse quality. You can evaluate pulse quality
through palpation. Pulse oximetry does not accurately assess
respiratory status in patients with hypotension, anemia, and certain
other disorders.
Which finding indicates that a patient's respiratory compromise is
improving?