Get Answer: Nurse Assessing Motor Question Guide

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The nurse is assessing the motor and sensory function of an unconscious client who sustain a head injury. The nurse would use which technique to test the client’s peripheral response to pain? A. Sternal rub B. Pressure on nail beds C. Pressure on the orbital rim D. Squeezing of the sternocleidomastoid muscle 16. A nurse assesses a client who has a history of migraines. Which clinical manifestation should the nurse identify as an early sign of a migraine with aura? a. Vertigo b. Lethargy c. Visual disturbances d. Numbness of the tongue 17 A nurse assesses a client with a history of epilepsy who experiences stiffening of the muscles of the arms and legs, followed by an immediate loss of consciousness and jerking of all extremities. How should the nurse document this activity? a. Atonic seizure b. Tonic-clonic seizure c. Myoclonic seizure d. Absence seizure 18. The nurse is assisting a client from the bed to a chair when the client begins having a generalized seizure. Which action should the nurse take first? a) Administer 5 mg diazepam IV. b) Obtain a full set of vital signs. Record the type of seizure and how long it lasted. d) Assist the client to a side-lying position on the floor. 19. The nurse is taking care of a client with a spinal cord injury. The extent of the client’s this client? injury is shown in the accompanying image. Which finding is expected when assessing

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