NSG 121 Exam 4 - Complete Solutions (Answered) What should you ask a patient to assess nutritional risk factors? 1. Do you every skip meals? 2. How much
... [Show More] sugar do you eat? 3. How much salt do you eat? 4. How much red meat do you consume? T/F Ptosis requires an immediate assessment False, drooping of the eye lid is normal T/F Normal gait for elderly people includes flexed posture, using arms for balance, and short uneven steps True Examples of IADLs Using cell phone Shopping, Transportation Taking medications What is a risk that decreased nutritional intake puts the patient at that is not directly related to nutrition? Skin breakdown Healing Pressure ulcers Before Head to Toe What Do You Do? Weight & Height What comes after weight & height? Head to Toe After Head to Toe What Do You Do? Look to see if you have covered everything After you check if you have covered everything after head to toe- what do you do? Review everything with the patient Cranial Nerve I Olfactory Have patient smell while plugging one nostril at a time Cranial Nerve II Optic Snellen Chart and Confrontation Cranial Nerve III, IV, VI Oculomotor, Trochlear, Abducens Assess pupils for size, shape, and equality. Assess the six cardinal positions of gaze. Observe for nystagmus in one or both eyes Cranial Nerve VII Facial Test Taste Sense & Facial Movements Cranial Nerve VIII Acoustic Whisper Test Cranial Nerve IX Glossopharyngeal Test with nerve VII for taste and nerve X for swallowing Cranial Nerve X Vagus Stick out tongue and say "ah" Check gage reflex Cranial Nerve XI Spinal Accessory Controls trapezius & sternocleidomastoid Have patient shrug shoulders Cranial Nerve XII Hypoglossal Evaluate with cranial nerve X and stick out tongue What might be causing hypereflexia in the third trimester of a pregnancy? Preeclampsia At what age should a child triple their birth weight? 1 year Age group associated with autonomy vs doubt 18 months to 3 years Age group associated with industry vs inferiority 5-12 years In children at about age 10 the respiratory rate slows down. Why is that? [Show Less]