And oriented x4 - Study guides, Class notes & Summaries

D Tony Stark, DOB 1/1/1954, age 66, is a widowed Caucasian male who appears to be a reliable historian, presenting to the clinic by himself. Subjective CC: "I have been having palpitations for a while, and have been seeing a cardiologist, but they were getting worse the last couple of days." HPI T.S. is a 66-year-old male presenting to the clinic alone with a complaint of palpitations that have been increasing in intensity the last couple of days. The patient reports the palpitations s...

How to assess Level of Consciousness? - 1a. Determine if patient is alert, oriented x4 1b. The patient is asked the month and his/her age. The answer must be correct - there is no partial credit for being close. Aphasic and stuporous patients who do not comprehend the questions will score 2. It is important that only the initial answer be graded and that the examiner not "help" the patient with verbal or non-verbal cue. 1c. The patient is asked to open and close the eyes and then to gr...

NIH Stroke Scale (Latest 2023 - 2024) Actual Questions and Answers 100% Correct 1. How to assess Level of Consciousness? Answer: 1a. Deteremine if patient is alert,oriented x4 1b.The patient is asked the month and his/her age. The answer must be correct - there is no partial credit for being close. Aphasic and stuporous patients who do not comprehend the questions will score 2. It is important that only the initial answer be graded and that the examiner not "help"the patient with ve...

What are signs and symptoms that your patient is giving fluid overload? pulmonary edema crackles bounding pulses hypertension What do if you've got circulatory overload from giving an isotonic fluid? Raise the head of the bed Stop or slow the infusion with order and call provider Give diuretics What are the nursing actions for a PICC line? How often dressing change? How to flush? How do we confirm placement? What do we wanna put the patient on? Weekly dressing change (UNLE...

NIH Stroke Scale | Questions with 100% Correct Answers | Latest Update | Verified How to assess Level of Consciousness? - 1a. Determine if patient is alert, oriented x4 1b. The patient is asked the month and his/her age. The answer must be correct - there is no partial credit for being close. Aphasic and stuporous patients who do not comprehend the questions will score 2. It is important that only the initial answer be graded and that the examiner not "help" the patient with verbal or non-...

A fully oriented person is - Oriented to person, place, time, & situation (oriented x4). A person who is only oriented to one of these elements is at risk for injury. The PN should provide instructions to the UAP about additional support to the client. Orthostatic falls - The PN should obtain standing blood pressure measurements to evaluate the orthostatic falls in the blood pressure that can cause lightheaded or faint feeling when rising from a lying position. Atopic dermatitis (Eczema) - He...

A fully oriented person is Oriented to person, place, time, & situation (oriented x4). A person who is only oriented to one of these elements is at risk for injury. The PN should provide instructions to the UAP about additional support to the client. Orthostatic falls The PN should obtain standing blood pressure measurements to evaluate the orthostatic falls in the blood pressure that can cause lightheaded or faint feeling when rising from a lying position. Atopic dermatitis (...

NR 304 As the respiratory therapist (RT) leaves for the emergency department, the nurse re NR 304 As the respiratory therapist (RT) leaves for the emergency department, the nurse re-enters Charley™s room to reassess her. Focused assessment findings include respirations of 22 per minute and no longer labored; oxygen saturation of 90% on 2 L oxygen per nasal cannula; oriented X4 (person, place, time, and situation); lung sound decreased in all fields; Charley reports being more relaxed and havi...

How to assess Level of Consciousness? - ANSWER 1a. Deteremine if patient is alert, oriented x4 1b. The patient is asked the month and his/her age. The answer must be correct - there is no partial credit for being close. Aphasic and stuporous patients who do not comprehend the questions will score 2. It is important that only the initial answer be graded and that the examiner not "help" the patient with verbal or non-verbal cue. 1c. The patient is asked to open and close the eyes and th...

NIH Stroke Scale Test Group 2023 How to assess Level of Consciousness? - CORRECT ANSWER 1a. Deteremine if patient is alert, oriented x4 1b. The patient is asked the month and his/her age. The answer must be correct - there is no partial credit for being close. Aphasic and stuporous patients who do not comprehend the questions will score 2. It is important that only the initial answer be graded and that the examiner not "help" the patient with verbal or non-verbal cue. 1c. The pat...