And oriented x4 Study guides, Class notes & Summaries

How to assess Level of Consciousness? 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 then to gr...

NURS217: Health Assessment in Nursing / Fundamentals - ATI PRACTICE TEST A A nurse in an emergency department is caring for a client. Physical Examination 1200: Influenza with nausea, vomiting, and diarrhea for 3 days. Client is tachycardic, hypotensive, and tachypneic, with weak pulses, dry mucous membranes, poor turgor, and oliguria. Plan: Admit for IV fluids. Vital Signs 1200:Temperature 38.4° C (101.1° F) Heart rate 126/min Respiratory rate 28/min BP 92/54 mm Hg Oxygen satu...

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) ...

NIH Stroke ScaleHow to assess Level of Consciousness? - correct answer 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 an...

How to assess Level of Consciousness? - 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 then to g...

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...

How to assess Level of Consciousness? - 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 then to g...

NR 304 Health Assessment Head to Toe Assessment Final 2024 (VERIFIED) Hi, my name is (insert name) and I am a student nurse at Chamberlain University, and I have physician’s orders to perform a head to toe assessment on you which will take about 15-20 minutes, is now a good time? Patient: Yes. Me: I am going to start off with providing you with some privacy by closing off these curtains and taking care of my hand hygiene.  close curtains  perform hand hygiene  put on gloves M...

What is the purpose of a comprehensive exam? - ANSWER-Collection of subjective and objective data Created when a patient enters a health care system Serves as baseline data for comparison later What is the purpose of a partial, or on-going exam? - ANSWER-Mini-overview of body systems and holistic health patterns Occurs only after baseline/comprehensive database has been established Used during follow-up visits What is the purpose of a focused exam? - ANSWER-consists of a thoro...

A fully oriented person is correct answersOriented 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 correct answersThe 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. ...