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41 Cards in this Set
- Front
- Back
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A patient with cataracts might complain of a
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glare
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A patient presenting with an ulceration of the cornea will be refered to an
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opthamologist
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A patient with conjunctivitis should be taught to
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frequently wash their hands.
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An unconscious patient should first be assessed
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for airway
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A patient with a hemorrhagic stroke would complain of
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a headache before.
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A person with a TIA may have a
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carotid endarterectomy.
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A patient with a ND of altered verbal communication r/t expressive aphasia should be asked
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asked yes or no questions.
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A stroke patient seems withdrawn and is not able to use the left side of his body a ND could be
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self esteem disturbance r/t feeling of loss of independence.
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After a TIA a patient would be given
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t-PA.
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A CVA patient has an intact gag reflux
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needs to be in a high fowlers position with their head slightly flexed before eating.
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A patient with a stroke that continues to have increased weakness and a decreased loc needs to be
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watched to maintain respiratory functions.
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A patient falls unconscious then become very stiff with generalized muscle contraction, progressing to violent rhythmic muscle contractions is called
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a tonic-clone seizure.
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A patient with ALS will present with
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muscle wasting and atrophy
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A patient with a trigeminal neuralgia attack needs to be evaluated for
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hydration and nutritional status'
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Correct positioning for a comatose client is
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side-lying.
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To test cerebellar dysfunction for a patient with ataxia would be done with
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Romberg's test.
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After a patient has a stroke they need to
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have their gag reflex intact before resuming food.
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All ederly patients have a risk for
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orthostatic hypotension
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An appropriate goal for a patient with global aphasia would be to
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to follow simple requests
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Proper teaching for a patient's family for a seizure disorder would be to
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not force anything in their mouth if having a seizure.
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A patient only combs the right side of his head and shaves only the right side of his face has
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unilateral neglect.
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A priority ND for a patient with a massive stroke with a score of 5 on glascow coma scale would be
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ineffective airway clearance
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An adverse rxn for patient taking plavix would be
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bleeding gums.
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When bladder training assist patient to
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commode q2h
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Teach a patient with migraines to avoid foods high in
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tyramine
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A seizure disorder can present as
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unconscious lip smacking
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Precautions to take for a patient with epilepsy would be
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O2 and suction equipment at bedside.
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Epileptics must always take their meds
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even when their seizures are under control
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A patient with left hemiplegia a CT scan is ordered to
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to tell is stroke is ischemic or hemorrhagic
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A ruptured cerebral aneurysm could be treated with
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a surgical clipping of the aneurysm
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NI for a patient with hemiplegia is
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passive ROM of affected limb and active ROM of unaffected limb
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family’s of stroke patients need help with
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the long term affect of problem solving.
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Teach patient on dilantin to
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brush and floss at least 2x daily.
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A patient with Bell's palsy would have paralysis
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on one side of face.
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A patient with botulism poisoning would need to
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be taught safe food preparation
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Characteristics of ALS include
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weakness and atrophy with intact cognitive abilities.
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ND for patient with bilateral sensory and motor impairment would be
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risk for injury.
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A patient having a lumbar puncture would be
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A patient having a lumbar puncture would be
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The Glasgow coma scale evaluates
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a patients LOC.
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patient stepped on a nail and had a tetanus shot 3 years ago you would
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patient stepped on a nail and had a tetanus shot 3 years ago you would
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Tension headaches present with
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pressure around head
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