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Which of the following would be the most appropriate for you as the student nurse to do next?
Perform a Glasgow Coma Score (GCS).
When performing a physical examination of Winnie which of the following would be most appropriate?
Try to minimise position changes for her.
Which test would be most appropriate to perform when assessing Winnies eye muscle strength
Extra ocular movement test.
Which of the following nursing assessments will give you objective data relating to the functioning of Winnies cerebellum?
The registered nurse is having difficulty eliciting a patellar reflex. Which of the following would be most appropriate for the nurse to have Winnie do?
Lock the fingers together and pull against each other.
Winnies patellar reflex is normal. Which of the following is the correct number to document this?
Which of the following would be the most likely sign of a frontal lobe contusion?
For which patient condition would you most likely expect a capillary refill time longer than two seconds?
Peripheral vascular disease.
Which one of the following is a myth about pain in the older adult?
Elderly people who are confused or cognitively impaired do not have pain.
Which of the following represents the break in sounds between the first and second sounds when auscultating Joyce's blood pressure?
You are having difficulty auscultating Joyce's heart sounds, specifically S1 and S2. Which of the following would help?
Palpate the carotid pulse while auscultating the heart.
Which type of pain would be associated with arthritis?
When assessing Rangi which part of the body would you assess for the presence of central cyanosis?
Which of the following processes is not required in order for effective respiration to occur?
Which of the following is a warning sign of acute respiratory distress?
A blue tinge to the mouth and lips.
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