Health Care > EXAM > NURS 3234 Exam 4 Fundamentals Questions & Answers 2022 (All)
3234 Exam 4 Fundamentals Questions & Answers Ch 43 #1 A nurse who is assessing an older female patient in a long term care facility notes that the patient is at risk for sensory deprivation related t... o severe rheumatoid arthritis limiting her activity. Which interventions would the nurse recommend based on this finding. Select al that apply A. use a lower tone when communicating with the patient B. Provide interaction with children and pets C. Decrease environmental noise D. Ensure that the patient shares meals with other patients E. Discourage use of sedatives F. Provide adequate lighting and clear pathways of clutter - correct answerB, D, E Provide interaction with children and pets, ensure that patient shares meals, and discourage use of sedatives Using lower tone of voice is appropriate for hearing deficit patient, decrease environmental noise is for sensory overload and providing adequate lighting and removing clutter is for vision deficit Ch 43 #2 A nurse is assessing a78 year old male patient for kinesthetic and visceral disturbances. Which techniques would the nurse use for this assessment? Select all that apply. A. nurse asks the patient if he is bored and if so, why B. The nurse asks the patient if anything interferes with the functioning of his senses C. The nurse asks the patient if he noticed any changes in the way he perceives his body D. the nurse asks the patient if he has found it difficult to communicate verbally E. the nurse notes if the patient withdraws from being touched F. The nurse notes if the patient seems unsure of his body parts/position - correct answerC, D, E, F Kinesthetic and visual disturbances: assess for perceived body changes inside and out, and changes in body parts or position Ch 43 #3 A nurse asks a patient to close her eyes, state when she feels something, and describe the feeling. The nurse then brushes the patient's skin with a cotton ball, and touches the patient's skin with both sides of a safety pin. Which sense is the nurse assessing? A. Gustatory B. Olfactory C. Tactile D. Kinesthetic - correct answerC Tactile: touch [Show More]
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