Nursing 142-Quiz 2
A Patient with a listening to hassle could present with??? - ANS-A Hearing Aid
Abducens - ANS-Cranial Nerve VI-Motor-EOM; moves eyeball laterally
Assess directions of gaze.
Accessory - ANS-Cranial Nerve XI-Motor-Head movement; shrugging of shoulders
Ask affected person to shrug shoulders against resistance out of your fingers and flip head to
side towards resistance out of your hand
Alert and Oriented - ANS-measuring of intellectual function, measured in orientation to person,
vicinity, time, and scenario. If a person is oriented to all four, it's far recorded as A&Ox4
Assessing Hearing - ANS-History, Audiometer
Auscultation - ANS-the procedure of paying attention to sounds produced within the body.
Auscultation may be direct or oblique.
Babinski reflex - ANS-Plantar reflex. Test it on the plantar thing or sole of the foot through
tracing an upside-down J with the handle of the reflex hammer, starting at the patient's heel and
transferring up the lateral issue after which throughout the ball of the foot.
Adult-Toes Curl Up
Child-Toes Fan Out
Brundzski Test - ANS-Passive Flexion of Neck-Checks for Meningitis
Cochlear department - ANS-Cranial Nerve VIII-Sensory-Hearing: air-conduction and
bone-conduction
Gross hearing acuity assessments
Normal tone, whisper tone
Weber's take a look at, and Rinne take a look at with tuning fork
Deep Palpitation - ANS-performed with one hand or with two fingers (bimanually). In deep
bimanual palpation, the nurse extends the dominant hand as for light palpation, then places the
finger pads of the nondominant hand on the dorsal floor of the distal interphalangeal joints of the
center three arms of the dominant hand
, direct auscultation - ANS-listening without an device
direct percussion - ANS-the nurse moves the area to be percussed without delay with the pads
of two, three, or four arms or with the pad of the middle finger. The strikes are speedy, and the
movement is from the wrist
Domestic Abuse - ANS-any bodily, verbal, monetary, sexual, or psychological behaviors abusers
use to benefit and hold energy over their sufferers
Elder Abusse - ANS-Can take many paperwork along with bodily, emotional, sexual, financial
abuse. Neglect, abandonment, and healthcare fraud is protected.
Can occur anywhere and most older adults do no longer report it out of worry
EOM - ANS-extraocular muscle groups, support the motion of eyes in extraordinary instructions
Facial - ANS-Cranial Nerve VII-Motor & Sensory-Facial expression; taste (anterior two thirds of
tongue)
Ask affected person to smile, increase the eyebrows, frown, puff out cheeks, close eyes tightly.
Ask affected person to perceive various tastes placed on the tip and sides of tongue: sugar
(sweet), salt, lemon juice (bitter), and quinine (sour); identify regions of taste.
GCS Eye - ANS-4 - spontaneous
3 - to voice
2 - to ache
1 - none
GCS motor reaction - ANS-6-Obeys instructions
5-Localizes
four-Withdraws
3-Abnormal flexion (decorticate)
2-Extension reaction (decerebrate)
1-None
GCS Verbal - ANS-5- oriented
four- confused
three- irrelevant
2- incomprehensible
1- none
Glasgow Coma Scale - ANS-eyes, verbal, motor
A Patient with a listening to hassle could present with??? - ANS-A Hearing Aid
Abducens - ANS-Cranial Nerve VI-Motor-EOM; moves eyeball laterally
Assess directions of gaze.
Accessory - ANS-Cranial Nerve XI-Motor-Head movement; shrugging of shoulders
Ask affected person to shrug shoulders against resistance out of your fingers and flip head to
side towards resistance out of your hand
Alert and Oriented - ANS-measuring of intellectual function, measured in orientation to person,
vicinity, time, and scenario. If a person is oriented to all four, it's far recorded as A&Ox4
Assessing Hearing - ANS-History, Audiometer
Auscultation - ANS-the procedure of paying attention to sounds produced within the body.
Auscultation may be direct or oblique.
Babinski reflex - ANS-Plantar reflex. Test it on the plantar thing or sole of the foot through
tracing an upside-down J with the handle of the reflex hammer, starting at the patient's heel and
transferring up the lateral issue after which throughout the ball of the foot.
Adult-Toes Curl Up
Child-Toes Fan Out
Brundzski Test - ANS-Passive Flexion of Neck-Checks for Meningitis
Cochlear department - ANS-Cranial Nerve VIII-Sensory-Hearing: air-conduction and
bone-conduction
Gross hearing acuity assessments
Normal tone, whisper tone
Weber's take a look at, and Rinne take a look at with tuning fork
Deep Palpitation - ANS-performed with one hand or with two fingers (bimanually). In deep
bimanual palpation, the nurse extends the dominant hand as for light palpation, then places the
finger pads of the nondominant hand on the dorsal floor of the distal interphalangeal joints of the
center three arms of the dominant hand
, direct auscultation - ANS-listening without an device
direct percussion - ANS-the nurse moves the area to be percussed without delay with the pads
of two, three, or four arms or with the pad of the middle finger. The strikes are speedy, and the
movement is from the wrist
Domestic Abuse - ANS-any bodily, verbal, monetary, sexual, or psychological behaviors abusers
use to benefit and hold energy over their sufferers
Elder Abusse - ANS-Can take many paperwork along with bodily, emotional, sexual, financial
abuse. Neglect, abandonment, and healthcare fraud is protected.
Can occur anywhere and most older adults do no longer report it out of worry
EOM - ANS-extraocular muscle groups, support the motion of eyes in extraordinary instructions
Facial - ANS-Cranial Nerve VII-Motor & Sensory-Facial expression; taste (anterior two thirds of
tongue)
Ask affected person to smile, increase the eyebrows, frown, puff out cheeks, close eyes tightly.
Ask affected person to perceive various tastes placed on the tip and sides of tongue: sugar
(sweet), salt, lemon juice (bitter), and quinine (sour); identify regions of taste.
GCS Eye - ANS-4 - spontaneous
3 - to voice
2 - to ache
1 - none
GCS motor reaction - ANS-6-Obeys instructions
5-Localizes
four-Withdraws
3-Abnormal flexion (decorticate)
2-Extension reaction (decerebrate)
1-None
GCS Verbal - ANS-5- oriented
four- confused
three- irrelevant
2- incomprehensible
1- none
Glasgow Coma Scale - ANS-eyes, verbal, motor
