And oriented x4 Study guides, Class notes & Summaries
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(Answered) NUR303 Heart Failure Case Study: JoAnn Smith, 72 years old Woman.
- Case • 17 pages • 2023
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(Answered) NUR303 Heart Failure Case Study: JoAnn Smith, 72 years old Woman. 
Heart Failure 
JoAnn Smith, 72 years old 
Primary Concept 
Perfusion 
Interrelated Concepts (In order of emphasis) 
1. Gas Exchange 
2. Fluid and Electrolyte Balance 
3. Clinical Judgment 
4. Patient Education 
5. Communication 
6. Collaboration 
© 2016 Keith Rischer/www.KeithRN.com 
UNFOLDING Reasoning Case Study: STUDENT 
Heart Failure 
History of Present Problem: 
JoAnn Smith is a 72-year-old woman who has a histor...
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NURS217: Health Assessment in Nursing / Fundamentals - ATI PRACTICE TEST A
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NURS217: Health Assessment in Nursing / Fundamentals - ATI PRACTICE TEST A 
 
A nurse in an emergency department is caring for a client. 
Physical Examination 
1200: 
Influenza with nausea, vomiting, and diarrhea for 3 days. Client is tachycardic, hypotensive, and tachypneic, with weak pulses, dry mucous membranes, poor turgor, and oliguria. 
Plan: Admit for IV fluids. 
Vital Signs 
1200:Temperature 38.4° C (101.1° F) 
Heart rate 126/min 
Respiratory rate 28/min 
BP 92/54 mm Hg 
Oxygen satu...
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NIH Stroke Scale with correct answers
- Exam (elaborations) • 17 pages • 2023
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How to assess Level of Consciousness? 
1a. Deteremine if patient is alert, oriented x4 
 
1b. The patient is asked the month and his/her age. 
The answer must be correct - there is no partial credit for being close. Aphasic and stuporous patients who do not comprehend the questions will score 2. It is important that only the initial answer be graded and that the examiner not "help" the patient with verbal or non-verbal cue. 
 
1c. The patient is asked to open and close the 
eyes and then to gr...
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PN Exit HESI Exam Questions and Answers with Rationales 2023
- Exam (elaborations) • 15 pages • 2023
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A fully oriented person is - Oriented to person, place, time, & situation (oriented 
x4). 
A person who is only oriented to one of these elements is at risk for injury. The PN 
should provide instructions to the UAP about additional support to the client. 
Orthostatic falls - The PN should obtain standing blood pressure measurements to 
evaluate the orthostatic falls in the blood pressure that can cause lightheaded or 
faint feeling when rising from a lying position. 
Atopic dermatitis (Eczema) ...
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NR 304 Health Assessment Head to Toe Assessment Final 2024 (VERIFIED)
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NR 304 Health Assessment Head to Toe Assessment Final 2024 (VERIFIED) Hi, my name is (insert name) and I am a student nurse at Chamberlain University, and I 
have physician’s orders to perform a head to toe assessment on you which will take about 
15-20 minutes, is now a good time? 
Patient: Yes. 
Me: I am going to start off with providing you with some privacy by closing off these curtains 
and taking care of my hand hygiene. 
 close curtains 
 perform hand hygiene 
 put on gloves 
M...
And that's how you make extra money
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NURS263 Exam 1 (100 out of 100) Questions and Answers (Latest Update) GRADED A -Rasmussen
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NURS263 Exam 1 (100 out of 100) Questions and Answers (Latest Update) GRADED A -Rasmussen 
 
 nurses role in health assessment 
complete a holistic assessment - LOOK AT THE WHOLE PICTURE (meds, health, foods, family history etc 
 
 
assessment phase of the nursing process 
-gather information about patient's condition 
-focuses on patient and family's needs, values, and preferences 
-identifies key members of health care team needed 
-includes health history, review of systems, physical e...
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NIH Stroke Scale correctly answered graded A+
- Exam (elaborations) • 7 pages • 2024
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NIH Stroke ScaleHow to assess Level of Consciousness? - correct answer 1a. Determine if patient is alert, oriented x4 
 
1b. The patient is asked the month and his/her age. 
The answer must be correct - there is no partial credit for being close. Aphasic and stuporous patients who do not comprehend the questions will score 2. It is important that only the initial answer be graded and that the examiner not "help" the patient with verbal or non-verbal cue. 
 
1c. The patient is asked to open an...
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NUR202 Geriatric Nursing: Management Concepts for Elder Care
- Other • 52 pages • 2022
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NUR202 Geriatric Nursing: Management Concepts for Elder Care. 
Mrs. H, a 65-year-old woman with a history of hypertension, presents to the clinician with a 
continued complaint of a cough. She has been to the office 3 times over the last 6 months with the 
same troublesome cough. She has had 2 chest infections, 1 of which resulted in an admission to the 
hospital. She reports that she has been feeling increasingly fatigued and breathless on exertion over 
the past few weeks. She had a hysterecto...
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NIH Stroke Scale | Questions with 100% Correct Answers | Verified | Latest Update 2024
- Exam (elaborations) • 7 pages • 2024
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How to assess Level of Consciousness? - 
1a. Deteremine if patient is alert, oriented x4 
1b. The patient is asked the month and his/her age. 
The answer must be correct - there is no partial credit for being close. Aphasic and stuporous patients 
who do not comprehend the questions will score 2. It is important that only the initial answer be graded 
and that the examiner not "help" the patient with verbal or non-verbal cue. 
1c. The patient is asked to open and close the 
eyes and then to g...
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PN Exit Hesi / Rationales exam 2024 with verified solutions
- Exam (elaborations) • 12 pages • 2024
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Available in package deal
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A fully oriented person is correct answersOriented to person, place, time, & situation (oriented x4). 
 
A person who is only oriented to one of these elements is at risk for injury. The PN should provide instructions to the UAP about additional support to the client. 
 
Orthostatic falls correct answersThe PN should obtain standing blood pressure measurements to evaluate the orthostatic falls in the blood pressure that can cause lightheaded or faint feeling when rising from a lying position. 
...
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