Download - 115-NCLEX-RN Review Made Incredibly Easy, Fifth Edition (Incredibly Easy Series)-Lippincott-16083_p210

186 Neurosensory system

After the procedure Check the venipuncture site for bleeding.

Studying blood three timesA coagulation study is a laboratory test of a blood sample that analyzes prothrombin time, international normalized ratio, and partial thromboplastin time.

Nursing actionsBefore the procedure Explain the procedure to the client. Note current drug therapy before the procedure.After the procedure Check the venipuncture site for bleeding.

Ye olde eye chartA visual acuity test measures clarity of vision using a letter chart (Snellens) placed 20 (6 m) from the client. Acuity is expressed in a ratio that relates what a person with normal vision sees at 20 to what the client can see at 20.

Nursing actions Explain the testing procedure to the client. Remind the client to bring eyeglasses or contact lenses, if presently prescribed. Advise the examiner if the client is unable to read alphabet letters. Advise the examiner if the client has diffi-culty hearing or following directions.

All lined up?Extraocular eye muscle testing checks for parallel alignment of the eyes, muscle strength, and cranial nerve function.

Nursing actions Explain the testing procedure to the client. Advise the examiner if the client has diffi-culty hearing or following directions.

Seeing on the sideA visual field examination tests the degree of peripheral vision of each eye.

Nursing actions Explain the testing procedure to the client. Advise the examiner if the client has diffi-culty hearing or following directions.

Snooping on the skullSkull X-rays provide a radiographic picture of the head and neck bones.

Nursing actions Explain the procedure to the client. Determine the clients ability to lie still during the procedure.

Marking blood flow in the brainPositron emission tomography (PET) is injection of a radioisotope after visualization of the brains oxygen uptake, blood flow, and glucose metabolism.

Nursing actionsBefore the procedure Explain the procedure to the client. Determine the clients ability to remain still during the procedure. Withhold alcohol, tobacco, and caffeine for 24 hours before the procedure. Withhold medications, as directed. Insert an I.V. catheter.After the procedure Check the injection site for bleeding.

Studying blood onceA blood chemistry test analyzes a blood sample for potassium, sodium, calcium, phosphorus, protein, osmolality, glucose, bicarbonate, blood urea nitrogen, and creatinine.

Nursing actions Before the procedure, explain the reason for testing and how the specimen will be obtained. After the procedure, monitor the venipunc-ture site for bleeding.

Studying blood twiceA hematologic study is a laboratory test of a blood sample that analyzes WBCs, red blood cells, erythrocyte sedimentation rate, plate-lets, hemoglobin, and hematocrit.

Nursing actionsBefore the procedure Explain the procedure to the client. Note current drug therapy before the procedure.

The head bone is connected to the

neck bone.

313419NCLEX-RN_Chap06.indd 186313419NCLEX-RN_Chap06.indd 186 4/8/2010 9:45:33 AM4/8/2010 9:45:33 AM

/ColorImageDict > /JPEG2000ColorACSImageDict > /JPEG2000ColorImageDict > /AntiAliasGrayImages false /CropGrayImages true /GrayImageMinResolution 300 /GrayImageMinResolutionPolicy /OK /DownsampleGrayImages true /GrayImageDownsampleType /Bicubic /GrayImageResolution 300 /GrayImageDepth 8 /GrayImageMinDownsampleDepth 2 /GrayImageDownsampleThreshold 1.50000 /EncodeGrayImages true /GrayImageFilter /FlateEncode /AutoFilterGrayImages false /GrayImageAutoFilterStrategy /JPEG /GrayACSImageDict > /GrayImageDict > /JPEG2000GrayACSImageDict > /JPEG2000GrayImageDict > /AntiAliasMonoImages false /CropMonoImages true /MonoImageMinResolution 1200 /MonoImageMinResolutionPolicy /OK /DownsampleMonoImages true /MonoImageDownsampleType /Bicubic /MonoImageResolution 1200 /MonoImageDepth -1 /MonoImageDownsampleThreshold 1.50000 /EncodeMonoImages true /MonoImageFilter /CCITTFaxEncode /MonoImageDict > /AllowPSXObjects true /CheckCompliance [ /None ] /PDFX1aCheck false /PDFX3Check false /PDFXCompliantPDFOnly false /PDFXNoTrimBoxError true /PDFXTrimBoxToMediaBoxOffset [ 0.00000 0.00000 0.00000 0.00000 ] /PDFXSetBleedBoxToMediaBox true /PDFXBleedBoxToTrimBoxOffset [ 0.00000 0.00000 0.00000 0.00000 ] /PDFXOutputIntentProfile (None) /PDFXOutputConditionIdentifier () /PDFXOutputCondition () /PDFXRegistryName () /PDFXTrapped /False

/CreateJDFFile false /Description > /Namespace [ (Adobe) (Common) (1.0) ] /OtherNamespaces [ > /FormElements false /GenerateStructure false /IncludeBookmarks false /IncludeHyperlinks false /IncludeInteractive false /IncludeLayers false /IncludeProfiles false /MultimediaHandling /UseObjectSettings /Namespace [ (Adobe) (CreativeSuite) (2.0) ] /PDFXOutputIntentProfileSelector /DocumentCMYK /PreserveEditing true /UntaggedCMYKHandling /LeaveUntagged /UntaggedRGBHandling /UseDocumentProfile /UseDocumentBleed false >> ]>> setdistillerparams> setpagedevice















































































Download - 115-NCLEX-RN Review Made Incredibly Easy, Fifth Edition (Incredibly Easy Series)-Lippincott-16083_p210

Top Related