« previous next »

Author Question: The charge nurse is observing a new staff nurse who is assessing a patient with a traumatic spinal ... (Read 63 times)

chandani

  • Hero Member
  • *****
  • Posts: 541
on: Jun 25, 2018
The charge nurse is observing a new staff nurse who is assessing a patient with a traumatic spinal cord injury for sensation. Which action indicates a need for further teaching of the new nurse about neurologic assessment?
 
  a. The new nurse tests for light touch before testing for pain.
  b. The new nurse has the patient close the eyes during testing.
  c. The new nurse asks the patient if the instrument feels sharp.
  d. The new nurse uses an irregular pattern to test for intact touch.

Question 2

Which equipment will the nurse obtain to assess vibration sense in a diabetic patient who has peripheral nerve dysfunction?
 
  a. Sharp pin
  b. Tuning fork
  c. Reflex hammer
  d. Calibrated compass


efwsefaw

  • Sr. Member
  • ****
  • Posts: 351
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: C
When performing a sensory assessment, the nurse should not provide verbal clues. The other actions by the new nurse are appropriate.

Answer to Question 2

ANS: B
Vibration sense is testing by touching the patient with a vibrating tuning fork. The other equipment is needed for testing of pain sensation, reflexes, and two-point discrimination.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

chandani

  • Hero Member
  • *****
  • Posts: 541
Reply #2 on: Jun 25, 2018
Thank you


efwsefaw

  • Sr. Member
  • ****
  • Posts: 351
Reply #3 on: Jun 25, 2018
No problemo


« previous next »
 

Did you know?

ACTH levels are normally highest in the early morning (between 6 and 8 A.M.) and lowest in the evening (between 6 and 11 P.M.). Therefore, a doctor who suspects abnormal levels looks for low ACTH in the morning and high ACTH in the evening.

Did you know?

The U.S. Preventive Services Task Force recommends that all women age 65 years of age or older should be screened with bone densitometry.

Did you know?

The first oral chemotherapy drug for colon cancer was approved by FDA in 2001.

Did you know?

Before a vaccine is licensed in the USA, the Food and Drug Administration (FDA) reviews it for safety and effectiveness. The CDC then reviews all studies again, as well as the American Academy of Pediatrics and the American Academy of Family Physicians. Every lot of vaccine is tested before administration to the public, and the FDA regularly inspects vaccine manufacturers' facilities.

Did you know?

The people with the highest levels of LDL are Mexican American males and non-Hispanic black females.

Measuring Patient Height Measuring Patient Height
THE DIMENSIONS OF PATIENT-CENTERED CARE THE DIMENSIONS OF PATIENT-CENTERED CARE
Pure Alexia in a Patient with Multiple Sclerosis Pure Alexia in a Patient with Multiple Sclerosis
All messages must be documented and placed in the patient's chart. All messages must be documented and placed in the patient's chart.
Video: Vasectomy

For a complete list of videos, visit our video library