What nihss measures Study guides, Class notes & Summaries
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![HESI RN EXIT Comprehensive B latest update](/docpics/3241947/64d9166c83938_3241947_121_171.jpeg)
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HESI RN EXIT Comprehensive B latest update
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HESI RN EXIT Comprehensive B latest 
update 
The nurse is caring for a client with a cerebrovascular accident (CVA) who is receiving enteral tube 
feedings. Which task performed by the UAP requires immediate intervention by the nurse? 
A.Suctions oral secretions from mouth 
B.Positions head of bed flat when changing sheets 
C.Takes temperature using the axillary method 
D.Keeps head of bed elevated at 30 degrees 
B 
Rationale: 
Positioning the head of the bed flat when enteral feedings are in p...
![Hondros Nur 176 exam 1 Questions and Answers 100% correct](/docpics/3245134/64da0ea47a493_3245134_121_171.jpeg)
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Hondros Nur 176 exam 1 Questions and Answers 100% correct
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Hondros Nur 176 exam 1 Questions and Answers 100% correct 
Interventions to prevent diabetes 
Maintain healthy weight, diet and exercise 
 
 
 
Signs of type 1 diabetes 
3 polys, blurred vision, cold feet, numbness, shiny thin skin w/ no hair, age 30 and under, sudden onset, underweight, 
 
 
 
Signs of type 2 diabetes 
No symptoms at first , later develop the 3 polys, obesity, Nigricans (black line on back of neck) skin tags 
 
 
 
S/S of hypoglycemia 
Fatigue, weakness, irritability, reduce co...
![Stroke Interventions Exam Questions With Complete Solutions](/docpics/3699504/653a3627ca780_3699504_121_171.jpeg)
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Stroke Interventions Exam Questions With Complete Solutions
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Orpington Prognostic Scale (OPS) correct answer: outcome measure specific to stroke that is predictive of discharge setting 
-4 domains: balance, cognition, motor, and proprioception 
-taken in 1st two weeks poststroke 
-inpatient or acute care 
 
Scoring: 
< 3.2 indicates discharge to home within 3 weeks of stroke 
 
> 5.2 requires long-term care, and a score 
 
Between 3.2 and 5.2 requires intensive rehabilitation 
 
corticospinal tract correct answer: integrity of which spinal tra...
![NIH Stroke scale (NIHSS)fully solved graded A+](/docpics/4750020/65f447c3ac385_4750020_121_171.jpeg)
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NIH Stroke scale (NIHSS)fully solved graded A+
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NIH Stroke scale (NIHSS) 
What NIHSS measures - correct answer measures severity of symptoms of stroke 
 
NIHSS areas of assessment - correct answer Level of consciousness 
Vision 
Extraoccular movements 
Facial Palsy 
Limb strength 
Ataxia 
Sensation 
Speech and language 
 
Grading scale of NIHSS - correct answer 3 or 4 point scale 
Scores range from 0-42 
 
Score of >25 - correct answer Very severe stroke on NIHSS scale 
 
Score of 15-24 - correct answer Severe stroke on NIHSS scale 
 ...
![NIH Stroke scale (NIHSS) Questions and Answers 100% Pass](/docpics/2909327/648c452c81fd1_2909327_121_171.jpeg)
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NIH Stroke scale (NIHSS) Questions and Answers 100% Pass
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NIH Stroke scale (NIHSS) Questions and Answers 100% Pass What NIHSS measures measures severity of symptoms of stroke 
NIHSS areas of assessment Level of consciousness Vision Extraoccular movements Facial Palsy Limb strength Ataxia Sensation Speech and language 
Grading scale of NIHSS 3 or 4 point scale Scores range from 0-42 
Score of >25 Very severe stroke on NIHSS scale 
Score of 15-24 Severe stroke on NIHSS scale 
Score of 5-14 Mile to Moderately Severe stroke on NIHSS scale 
Score of 1-5 ...
![NIH Stroke scale (NIHSS) Questions & Answers Solved 100%](/docpics/3106462/64bab8ae644f8_3106462_121_171.jpeg)
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NIH Stroke scale (NIHSS) Questions & Answers Solved 100%
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What NIHSS measures - Answer measures severity of symptoms of stroke 
 
NIHSS areas of assessment - Answer Level of consciousness 
Vision 
Extraoccular movements 
Facial Palsy 
Limb strength 
Ataxia 
Sensation 
Speech and language
![NIH Stroke scale (NIHSS) Questions and Answers 100% correct](/docpics/2831342/64772deb810f4_2831342_121_171.jpeg)
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NIH Stroke scale (NIHSS) Questions and Answers 100% correct
- Exam (elaborations) • 1 pages • 2023
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NIH Stroke scale (NIHSS) Questions and Answers 100% correct 
What NIHSS measures 
measures severity of symptoms of stroke 
 
 
 
NIHSS areas of assessment 
Level of consciousness 
Vision 
Extraoccular movements 
Facial Palsy 
Limb strength 
Ataxia 
Sensation 
Speech and language 
 
 
 
Grading scale of NIHSS 
3 or 4 point scale 
Scores range from 0-42 
 
 
 
Score of >25 
Very severe stroke on NIHSS scale 
 
 
 
Score of 15-24 
Severe stroke on NIHSS scale 
 
 
 
Score of 5-14 
Mile to Modera...
![NIH Stroke scale (NIHSS) Questions & Answers 100% Correct](/docpics/5078968/6626e00373ee7_5078968_121_171.jpeg)
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NIH Stroke scale (NIHSS) Questions & Answers 100% Correct
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What NIHSS measures - ANSWER-measures severity of symptoms of stroke 
 
NIHSS areas of assessment - ANSWER-Level of consciousness 
Vision 
Extraoccular movements 
Facial Palsy 
Limb strength 
Ataxia 
Sensation 
Speech and language
![EXIT HESI Comprehensive B Evolve ACTUAL EXAM 2023 GRADED A+.](/docpics/3183680/64cbe4e32149a_3183680_121_171.jpeg)
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EXIT HESI Comprehensive B Evolve ACTUAL EXAM 2023 GRADED A+.
- Exam (elaborations) • 34 pages • 2023
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EXIT HESI Comprehensive B Evolve ACTUAL EXAM 2023 GRADED A+. 
1. The nurse is caring for a client with a cerebrovascular accident (CVA) who 
is receiving enteral tube feedings. Which task performed by the UAP requires 
immediate intervention by the nurse? 
A.Suctions oral secretions from mouth 
B.Positions head of bed flat when changing sheets 
C.Takes temperature using the axillary method 
D.Keeps head of bed elevated at 30 degrees: B 
Rationale: 
Positioning the head of the bed flat when enter...
![EXIT HESI Comprehensive B Evolve ACTUAL EXAM 2023 GRADED A+.](/docpics/3183978/64cbee05eab39_3183978_121_171.jpeg)
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EXIT HESI Comprehensive B Evolve ACTUAL EXAM 2023 GRADED A+.
- Exam (elaborations) • 34 pages • 2023
- Available in package deal
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- $10.99
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EXIT HESI Comprehensive B Evolve ACTUAL EXAM 2023 GRADED A+. 
1. The nurse is caring for a client with a cerebrovascular accident (CVA) who 
is receiving enteral tube feedings. Which task performed by the UAP requires 
immediate intervention by the nurse? 
A.Suctions oral secretions from mouth 
B.Positions head of bed flat when changing sheets 
C.Takes temperature using the axillary method 
D.Keeps head of bed elevated at 30 degrees: B 
Rationale: 
Positioning the head of the bed flat when enter...
![EXIT HESI Comprehensive B Evolve Practice Questions ALL SOLUTION 100% CORRECT 2024 EDITION GUARANTEED GRADE A+](/docpics/4178947/659d2992eab93_4178947_121_171.jpeg)
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EXIT HESI Comprehensive B Evolve Practice Questions ALL SOLUTION 100% CORRECT 2024 EDITION GUARANTEED GRADE A+
- Exam (elaborations) • 35 pages • 2024
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- $16.29
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The nurse is caring for a client with a cerebrovascular accident (CVA) who is receiving enteral tube feedings. Which task performed by the UAP requires immediate intervention by the nurse? 
A.Suctions oral secretions from mouth 
B.Positions head of bed flat when changing sheets 
C.Takes temperature using the axillary method 
D.Keeps head of bed elevated at 30 degrees 
B 
Rationale: 
Positioning the head of the bed flat when enteral feedings are in progress puts the client at risk for aspiration ...
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