« previous next »

Author Question: The charge nurse is observing a new staff nurse who is assessing a patient with a traumatic spinal ... (Read 127 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?

Human neurons are so small that they require a microscope in order to be seen. However, some neurons can be up to 3 feet long, such as those that extend from the spinal cord to the toes.

Did you know?

Sildenafil (Viagra®) has two actions that may be of consequence in patients with heart disease. It can lower the blood pressure, and it can interact with nitrates. It should never be used in patients who are taking nitrates.

Did you know?

More than 150,000 Americans killed by cardiovascular disease are younger than the age of 65 years.

Did you know?

After 5 years of being diagnosed with rheumatoid arthritis, one every three patients will no longer be able to work.

Did you know?

Adult head lice are gray, about ? inch long, and often have a tiny dot on their backs. A female can lay between 50 and 150 eggs within the several weeks that she is alive. They feed on human blood.

Patient with osteoarthritis Patient with osteoarthritis
Patient teaching: lung assessment Patient teaching: lung assessment
Abdominal thrusts are delivered with a firm thrust into the patient’s abdomen with an upward ... Abdominal thrusts are delivered with a firm thrust into the patient’s abdomen with an upward ...
Apply direct pressure to the patient’s wound. Apply direct pressure to the patient’s wound.
The two most common deformities of the spinal column are scoliosis and kyphosis. The two most common deformities of the spinal column are scoliosis and kyphosis.
Cross-section of the spinal cord Cross-section of the spinal cord
Video: Inflammation Animation

For a complete list of videos, visit our video library