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FUNDAMENTALS SCENARIO. VSIM EXAM WITH GRADE A SOLUTIONS
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FUNDAMENTALS SCENARIO. VSIM EXAM WITH GRADE A SOLUTIONS
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FUNDAMENTALSSCENARIO: VERNON
RUSSELL EXAM WITH
THE CORRECT
ANSWERS ONLY
A bpatient bis bexperiencing bdysphagia bfollowing ba bstroke. bHow bshould bthe bnurse
bposition bthe bpatient bwhen badministering bmedications? bpg. b1304 b- bcorrect
banswer-High bFowler's
, Rationale: bThe bnurse bshould bposition bthe bpatient bat b90 bdegrees b(high bFowler's)
bor bshould bsit bthe bpatient bupright bin ba bchair. bThe bnurse bshould bnot bposition
bthe bpatient bsupine b(on bback), bsemi-Fowler's b(45 bdegrees), bor bleft blateral b(on
bthe bside) bduring bmedication badministration, bbecause bthese bpositions bcan
bimpede bswallowing band bthe bpassage bof bfood/liquids binto bthe bstomach
The bnurse bhas ban border bto bcomplete bneurochecks bevery bfour bhours. bWhich
bassessments bwould bthe bnurse binclude bin bthe bneurological bexamination? b(Select
ball bthat bapply.) bpg. b729-735 b- bcorrect banswer-- bMemory
- bLevel bof bconsciousness
- bSensory bperception
- bCranial bnerves
Rationale: bComponents bof ba bneurological bexamination binclude bmemory, blevel bof
bconsciousness, bsensory bperception, bcranial bnerves, bpatterns bof bspeech, band
bbilateral bhand bgrips. bRange bof bmotion bwould bbe bappropriate bfor ba
bmusculoskeletal bassessment.
A bpatient bwith bdysphagia bfollowing ba bstroke bexpresses bconcern babout bhaving
bdifficulty beating band bdrinking. bWhat bis bthe bappropriate breply bby bthe bnurse? b-
bcorrect banswer-Muscle bweakness bfrequently boccurs bafter ba bstroke; bwe bneed bto
bmake bsure bthat bfood bis bnot bgoing binto byour blungs.
Rationale: bThe bappropriate breply bby bthe bnurse bwould bbe bto bexplain bthat
bmuscle bweakness bfrequently boccurs bafter ba bstroke. bMaking bsure bthe bGI btract
bis bfunctioning bwould bbe ban bappropriate baction bto btake bafter bsurgery. bTelling
bthe bpatient bto bask bthe bprovider bis binappropriate bbecause bthe bnurse bis bable bto
banswer bthis bquestion. bAlthough bthe bpatient bmay bseem bworried, bthe bquestion bis
bspecifically babout bpatient bteaching brather bthan btherapeutic bcommunication. bThe
bappropriate breply bby bthe bnurse bwould bbe bto banswer bthe bpatient's bquestion
When btaking ba bpatient's bhealth bhistory, bwhich bof bthe bfollowing bdoes bthe bnurse
bidentify bas brisk bfactors bfor bhaving ba bstroke? b(Select ball bthat bapply.) b- bcorrect
banswer-- bHypertension
- bSmoking
- bDiabetes bMellitus
Rationale: bRisk bfactors bfor bstroke binclude bhypertension, bsmoking, band bdiabetes.
bObesity, bnot bweight bloss, bis ba brisk bfactor bfor bstroke. bAsthma bis bnot ba brisk
bfactor bfor bstroke
The bnurse bis bcaring bfor ba bpatient bwho bis bsuspected bof bhaving ba bstroke. bWhat
bshould bbe bthe bnurse's bfirst baction bto bensure bpatient bsafety bwhen bit bappears
bthe bpatient bis bhaving bdifficulty bswallowing bprescribed boral bmedication? bpg.
b1305-1306 b- bcorrect banswer-Hold bthis bdose bof bmedication band bmake bthe
bpatient bNPO.
Rationale: bDifficulty bswallowing bmay blead bto baspiration. bThe bnurse's bfirst baction
bshould bbe bto bhold bthe bmedication bdose band bmake bthe bpatient bnothing bby
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