Author Question: The charge nurse is observing a new staff nurse who is assessing a patient with a traumatic spinal ... (Read 60 times)

chandani

  • Hero Member
  • *****
  • Posts: 541
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
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


 

Did you know?

HIV testing reach is still limited. An estimated 40% of people with HIV (more than 14 million) remain undiagnosed and do not know their infection status.

Did you know?

In 1886, William Bates reported on the discovery of a substance produced by the adrenal gland that turned out to be epinephrine (adrenaline). In 1904, this drug was first artificially synthesized by Friedrich Stolz.

Did you know?

Most fungi that pathogenically affect humans live in soil. If a person is not healthy, has an open wound, or is immunocompromised, a fungal infection can be very aggressive.

Did you know?

The modern decimal position system was the invention of the Hindus (around 800 AD), involving the placing of numerals to indicate their value (units, tens, hundreds, and so on).

Did you know?

Persons who overdose with cardiac glycosides have a better chance of overall survival if they can survive the first 24 hours after the overdose.

For a complete list of videos, visit our video library