Nursing 170; Exam 1 || Verified for Accuracy.
Identify nursing actions for care of clients with sensory deprivation. correct answers check on
them more, give activities, have family call/visit
Identify nursing actions for care of clients with sensory deficit. correct answers use pictures,
describe where food is, keep clutter free
Identify nursing actions for care of clients with sensory overload. correct answers 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.
correct answers 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. correct answers
aphasia, hemiparesis, hemiplegiaglass
Describe nursing assessment techniques of the neurological system and musculoskeletal system
for clients across the lifespan. correct answers glasgow coma scale, sensory&motor function test,
romberg test (balance), range of motion exercise
Plan nursing actions to prevent respiratory complications of immobility. correct answers
incentive spirometer
Plan nursing actions to prevent integumentary complications of immobility. correct answers
reposition, get up and move
Plan nursing actions to prevent musculoskeletal complications of immobility. correct answers
exercise to prevent disuse syndrome (2hrs/24hrs)
, Plan nursing actions to prevent cardiovascular complications of immobility. correct answers have
patient sit up before moving them, compression socks, anti-coagulents
Identify potential complications of immobility. correct answers thrombus, contractures, skin
integrity, orthostatic hypotension, constipation, UTI's
Describe the five steps of the nursing process when providing client care. correct answers ADPIE
Identify tasks which may be delegated to a nursing assistive personnel. correct answers vitals,
meal set up ad eating, compression stockings
Identify assessment abnormalities for the musculoskeletal system. correct answers range of
motion, gait, check spine
Explain nutritional needs for clients with impaired skin integrity. correct answers water, vitamin
C&D, high calories, protein
tactile correct answers touch
Olfactory correct answers smell
gustation correct answers taste
xerostomia correct answers dry mouth
auditory correct answers hearing
stereognosis correct answers ability to recognize objects by feeling their form, size, and weight
while the eyes are closed
Identify nursing actions for care of clients with sensory deprivation. correct answers check on
them more, give activities, have family call/visit
Identify nursing actions for care of clients with sensory deficit. correct answers use pictures,
describe where food is, keep clutter free
Identify nursing actions for care of clients with sensory overload. correct answers 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.
correct answers 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. correct answers
aphasia, hemiparesis, hemiplegiaglass
Describe nursing assessment techniques of the neurological system and musculoskeletal system
for clients across the lifespan. correct answers glasgow coma scale, sensory&motor function test,
romberg test (balance), range of motion exercise
Plan nursing actions to prevent respiratory complications of immobility. correct answers
incentive spirometer
Plan nursing actions to prevent integumentary complications of immobility. correct answers
reposition, get up and move
Plan nursing actions to prevent musculoskeletal complications of immobility. correct answers
exercise to prevent disuse syndrome (2hrs/24hrs)
, Plan nursing actions to prevent cardiovascular complications of immobility. correct answers have
patient sit up before moving them, compression socks, anti-coagulents
Identify potential complications of immobility. correct answers thrombus, contractures, skin
integrity, orthostatic hypotension, constipation, UTI's
Describe the five steps of the nursing process when providing client care. correct answers ADPIE
Identify tasks which may be delegated to a nursing assistive personnel. correct answers vitals,
meal set up ad eating, compression stockings
Identify assessment abnormalities for the musculoskeletal system. correct answers range of
motion, gait, check spine
Explain nutritional needs for clients with impaired skin integrity. correct answers water, vitamin
C&D, high calories, protein
tactile correct answers touch
Olfactory correct answers smell
gustation correct answers taste
xerostomia correct answers dry mouth
auditory correct answers hearing
stereognosis correct answers ability to recognize objects by feeling their form, size, and weight
while the eyes are closed
