What nihss measures - Study guides, Class notes & Summaries

NIHSS Latest Update 100% Verified NIHSSI The National Institutes of Health Stroke Scale International Important Conventions Administer scale items in their exact order Avoid coaching patient Accept patients first attempt Score only what patient does Be consistent Include all deficits in scoring 1A. Level of Consciousness (LOC) Overall impression of alertness. 1A. Level of Consciousness (LOC) Scoring 0 = Alert. 1 = Not alert; aroused with minor verbal stimulation. 2 = Not alert; requires str...

EXIT HESI Comprehensive B Evolve Practice Questions With Correct Answers!! The nurse is caring for a client with a cerebrovascular accident (CVA) who is receiving enteral tube feedings. Which task performed by the UAP requires immediate intervention by the nurse? A.Suctions oral secretions from mouth B.Positions head of bed flat when changing sheets C.Takes temperature using the axillary method D.Keeps head of bed elevated at 30 degrees - Answer B Rationale: Positioning the head of th...

Questions and Elaborated Answers 2023(HESI Comprehensive) The nurse is caring for a client with a cerebrovascular accident (CVA) who is receiving enteral tube feedings. Which task performed by the UAP requires immediate intervention by the nurse? A.Suctions oral secretions from mouth B.Positions head of bed flat when changing sheets C.Takes temperature using the axillary method D.Keeps head of bed elevated at 30 degrees - CORRECT ANSWER-B Rationale: Positioning the head of the bed f...

CNRN Practice Samples Exam 235 Questions with Verified Answers Which of the following tumor types will have a higher incidence in pediatric populations and have a decreased incidence with age? A. Glioblastoma B. Pilocytic astrocytoma C. Central nervous system lymphoma D. Metastatic brain tumor - CORRECT ANSWER B Rationale: Both pilocytic astrocytoma and medulloblastoma brain tumors are more commonly found in the younger population. The incidence of these tumors will decrease with age. Gl...

1. Which information is most concerning to the nurse when caring for an older client with bilateral cataracts? a. States having difficulty with color perception b. Presents with opacity of the lens upon assessment c. Complains of seeing a cobweb-type structure in the visual field d. Reports the need to use a magnifying glass to see small print Rationale: Visualization of a cobweb- or hairnet-type structure is a sign of a retinal detachment, which constitutes a medical emergency. C...

HESI RN EXIT EXAM-EXAM PACK COMBINED FROM 2019/2020/2021 ACTUAL EXAMS-BEST FOR 2022 EXIT EXAM REVIEW HESI RN EXIT EXAM-EXAM PACK COMBINED FROM 2019/2020/2021 ACTUAL EXAMS-BEST FOR 2022 EXIT EXAM REVIEW HESI EXIT COMPREHENSIVE PROCTORED EXAM 1.Which information is most concerning to the nurse when caring for an older client with bilateral cataracts? A. States having difficulty with color perception B. Presents with opacity of the lens upon assessment C. Complains of seeing a co...

NIH STROKE SCALE (NIHSS) 2023/2024. What NIHSS measures - CORRECT ANSWER-measures severity of symptoms of stroke NIHSS areas of assessment - CORRECT ANSWER-Level of consciousness Vision Extraoccular movements Facial Palsy Limb strength Ataxia Sensation Speech and language Grading scale of NIHSS - CORRECT ANSWER-3 or 4 point scale Scores range from 0-42 Score of >25 - CORRECT ANSWER-Very severe stroke on NIHSS scale Score of 15-24 - CORRECT ANSWER-Severe stroke on NIHSS ...

HESI Comprehensive PN EXIT Exam B The nurse is caring for a client with a cerebrovascular accident (CVA) who is receiving enteral tube feedings. Which task performed by the UAP requires immediate intervention by the nurse? A. Suctions oral secretions from mouth B. Positions head of bed flat when changing sheets C. Takes temperature using the axillary method D. Keeps head of bed elevated at 30 degrees B Rationale: Positioning the head of the bed flat when enteral feedings are in progres...

NIH STROKE SCALE EXAM WITH 100% CORRECT ANSWERS AND LATEST QUESTIONS ALREADY RATED A+ 1A - Level of consciousness - ANS-0 - Alert; keenly responsive 1 - Arouses to minor stimulation 2 - Requires repeated stimulation to arouse 2 - Movements to pain 3 - Postures or unresponsive 1B - Ask month and age - ANS-0 - Both questions right 1 - One question right 1 - Dysarthric, intubated, trauma, or language barrier 2 - Aphasic 1C - "Blink eyes" and "Squeeze hands" - ANS-0 - Performs bot...

HESI RN EXIT EXAM PACK 2023 ACTUAL EXAMS-BEST FOR 2023/2024 EXIT EXAM REVIEW HESI RN EXIT EXAM-EXAM PACK COMBINED FROM 2019/2020/2021 ACTUAL EXAMS-BEST FOR 2022 EXIT EXAM REVIEW HESI EXIT COMPREHENSIVE PROCTORED EXAM 1. Which information is most concerning to the nurse when caring for an older client with bilateral cataracts? A. States having difficulty with color perception B. Presents with opacity of the lens upon assessment C. Complains of seeing a cobweb-type s...