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Exam (elaborations)

Nursing 170; Exam 1 with Accurate Solutions

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Nursing 170; Exam 1 with Accurate Solutions

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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

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