quizlet (63).pdf - What would be appropriate for the nurse to do when assessing a patient's motor function 1 Assess all four extremities together 2

quizlet (63).pdf - What would be appropriate for the nurse...

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What would be appropriate for the nurse to dowhen assessing a patient's motor function? 3. Assess the arms together and then assess the legs separately. 1. Assess all four extremities together. 2. Assess the right leg and the right armtogether. 3. Assess the arms together and then assess thelegs separately. 4. Assess the left leg and the left arm together.Correct Answer: 3 Rationale 1: Assessing all extremities together would not enable thenurse to compare strength and movement of both sides of the body. Rationale 2: The legs are usually assessed separately. Rationale 3: Although the nurse can assess the armssimultaneously, the legs are usually assessed separately. It isimportant that the nurse assesses the movement in all four of theextremities and compare the strength of movement on both sides ofthe body. Rationale 4: The legs are usually assessed separately.The nurse is assessing a patient'scorneal reflex. The cranial nerve that isbeing assessed with this reflex is: 4. VagusThe nurse is going to assist with the assessment of apatient's oculovestibular reflex. What should be donebefore this reflex is assessed? 4. Determine that the patient has an intact tympanicmembrane. 4. Determine that the patient has an intact tympanic membrane.
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  • Winter '16
  • Nursing, Traumatic brain injury, Subdural hematoma, Alcohol withdrawal syndrome

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