Nur 102 / Nur102 Exam 2 Chapter 19. Questions With 100% Verified Answers.
An adult admitted to the hospital after a stroke does not respond to verbal stimuli. What should the nurse do next to try to provoke a response? 1) apply pressure to the mandible at the jaw 2) rub the patients sternum 3) squeeze the trapezius muscle 4) gently shake the patients shoulder Which assessment question helps assess immediate memory? 1) how did you get to the hospital today? 2) can you repeat the number 2, 7, 9 for me? 3) do you recall the three items I mentioned earlier? 4) what was your birth date including the year? Assuming that all are accurate, which documentation about a patient's level of consciousness is best? 1) patient is lethargic and slept when undisturbed 2) patient responds to tactile stimulation; falls back to sleep immediately after tactile and verbal stimulation are stopped 3) patient slept throughout the day, missing his meals and bath 4) patient appears to be tired as he slept throughout the day except when bathed Based on development stage, how should the nurse modify the comprehensive physical examination of an older adult? 1) work rapidly to finish as quickly as possible 2) sequence the exam to limit position changes 3) demonstrate equipment before using it 4) omit portions of the exam that may be tiring The nurse applies resistance to the top of the clients foot and asks him to pull his toes toward his knee. The nurse observes active motion against some, but not against full resistance. How how the nurse document this finding? 1) 5: normal 2) 4: slight weakness 3) 3: weakness 4) 2: poor ROM
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