Quiz
A nurse enters a consumer's room and finds the patron at the floor experiencing a seizure.
Which of the following movements have to the nurse take? - ANS-Position the purchaser on
their facet.
The nurse must position the purchaser on their facet. This assists the patron's airway to remain
open and might save you aspiration if the client has emesis or secretions in their mouth.
A nurse is assessing a patron who has enlarged lymph nodes. In which of the subsequent
places must the nurse palpate to locate the postauricular nodes? - ANS-Over the mastoid
The nurse ought to palpate over the mastoid or behind the ear to assess the postauricular
nodes. The detection of an enlarged or smooth lymph node can imply the presence of an
contamination or a malignancy and should be mentioned to the provider.
A nurse is assessing a customer who has multiple sclerosis. Which of the following tests is the
nurse's priority? - ANS-Ability to swallow
The best risk to the purchaser is aspiration due to dysphagia. Therefore, the nurse's priority
assessment is the consumer's capacity to swallow.
A nurse is assisting a patron to ambulate to the bathroom whilst the consumer begins to fall.
Which of the following movements need to the nurse take? - ANS-Place one foot in front of the
other while spreading the feet apart.
The nurse need to area one foot in front of the opposite while spreading the toes farther aside to
widen their personal base of assist. Then the nurse must lower the client to the floor as
smoothly as feasible. This will assist with helping the customer's weight and assist to save you
injury to the nurse.
A nurse is worrying for a client who has a brand new tracheostomy. The nurse need to make
certain that which of the following portions of equipment is present in the patron's room? -
ANS-An obturator
The nurse should ensure that a client who has a tracheostomy has an obturator at their bedside.
If the tracheostomy is dislodged, an obturator is used to reinsert the outer cannula of the
tracheostomy. The nurse ought to also ensure that a spare tracheostomy of the customer's size,
as well as a tracheostomy of 1 size smaller, supplemental humidified air or oxygen, and suction
gadget are at the client's bedside to make sure safe client care.