Glascow coma scale 4 eyes - Study guides, Class notes & Summaries

Identify and explain one test you could complete on a patient to assess their: - Immediate memory - Recent memory - Remote memory Immediate memory- Ask the person to repeat a series of 3 digits Recent memory- Ask the person to recall the recent events of the day, such as how they got to the clinic. Remote memory- Ask the person to describe a birthday or anniversary. The patients' care plan identifies ongoing Glascow Coma Scale assessment. How does the nurse complete the foll...

1. A 24-year-old male pedestrian, struck by an automobile, is admitted to the emergency department 1 hour after injury. His blood pressure is 80/60 mmHg, heart rate 140 beats per minute and respiratory rate is 36 per minute. He is lethargic. Oxygen is delivered via face mask, and two large-caliber IVs are initiated. Arterial blood gases are obtained. His PaO2 is 118 mmHg (15.7 kPa), PaCO2 is 30 mmHg (4.0 kPa), and pH is7.21. The treatment of his acid-base disorder is best accomplished by: a. Hy...

2024 HESI EXIT V2 LATEST UPDATE QUESTIONS WITH CORRECT ANSWERS. VERIFIED EXAM 160 out of 160 GENUINE AND ACCURATELY ANSWERED QUESTIONS. ACTUAL TOP PRIORITY EXAM A+ ASSURED. 1. The nurse knows that which statement by the mother indicates that the mother understands safety precautions with her four month-old infant and her 4 year-old child? A) "I strap the infant car seat on the front seat to face backwards." B) "I place my infant in the middle of the living room floor on a blanket to p...

Active Range of Motion - correct answer full muscular range of motion with gravity, against resistance Passive Range of Motion - correct answer full muscular range of motion without gravity Ataxia - correct answer loss of full control of body movements Crepitus - correct answer grating sound/sensation produced by friction between bone and ca...

2018 HESI EXIT V2 1. The nurse knows that which statement by the mother indicates that the mother understands safety precautions with her four month-old infant and her 4 year-old child? A) "I strap the infant car seat on the front seat to face backwards." B) "I place my infant in the middle of the living room floor on a blanket to play with my 4 year old while I make supper in the kitchen." C) "My sleeping baby lies so cute in the crib with the little buttocks stuck up in the air whil...

ATLS10 exam questions with answers (answers outlined!!) 1. A 24-year-old male pedestrian, struck by an automobile, is admitted to the emergency department 1 hour after injury. His blood pressure is 80/60 mmHg, heart rate 140 beats per minute and respiratory rate is 36 per minute. He is lethargic. Oxygen is delivered via face mask, and two large-caliber IVs are initiated. Arterial blood gases are obtained. His PaO2 is 118 mmHg (15.7 kPa), PaCO2 is 30 mmHg (4.0 kPa), and pH is7.21. The treat...

When do advanced directives go into effect? when person is unable to speak for him/herself due to either: 1. Mental Incapacity - coma (GCS score ≤ 7) 2. Aphasia (≠as soon as signed; directives can always be changed later by person) SBAR Communication Framekwork Components 1. S = Situation - what prompted the communication (eg what changes occurred) 2. B = Background - pertinent information, relevant history, vital signs 3. A = Assessment - nurse's assessment of the situation...

HESI EXIT EXAM 2023 Questions and Answers The nurse knows that which statement by the mother indicates that the mother understands safety precautions with her four month-old infant and her 4 year-old child? A) "I strap the infant car seat on the front seat to face backwards." B) "I place my infant in the middle of the living room floor on a blanket to play with my 4 year old while I make supper in the kitchen." C) "My sleeping baby lies so cute in the crib with the little buttocks st...

HESI EXIT V2 NEW QUESTIONS AND ANSWERS WITH THE LATEST SOLUTIONS GRADED A+ 1. The nurse knows that which statement by the mother indicates that the mother understands safety precautions with her four month-old infant and her 4 year-old child? A) "I strap the infant car seat on the front seat to face backwards." B) "I place my infant in the middle of the living room floor on a blanket to play with my 4 year old while I make supper in the kitchen." C) "My sleeping baby lies so cute in t...

SCRN Exam Questions and Answers 2023 Penumbra Salvageable tissue -oxygen -blood pressure -Glucose Perfusion What oxygen delivers to the brain. Above the necklace-Anterior Circulation= Unilateral deficits Below the necklace-Posterior circulation= Bilateral deficits Circle of Willis-Collateral circulation= Aneurysm Cerebrum largest part of the brain Cerebrum: Frontal Lobe Motor function, personality, Brocca speech Brocca's aphasia-fronta...