To evaluate the patient’s level of consciousness (LOC), the nurse will:
Check turgor.
Check for pupillary response.
Observe for awake and alertness.
Auscultate temporal artery.
The Correct Answer is C
Level of consciousness (LOC) is a key indicator of neurological function and is typically assessed by observing a patient’s wakefulness, awareness, and responsiveness to stimuli.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
The primary nutrients are those that provide energy and building blocks for the body.
Correct Answer is B
Explanation
The appropriate next step would be to auscultate for another 4 minutes. The absence of bowel sounds for one minute does not necessarily indicate a surgical emergency, as bowel sounds may be affected by various factors such as the client's diet, medications, and level of activity. Listening for another minute may not provide enough information to make an accurate assessment, so it is recommended to listen for a longer period. If after the additional 4 minutes, there are still no bowel sounds heard, the nurse should notify the physician to further evaluate the client. Listening posteriorly may also provide additional information, but it should be done after the nurse has completed listening to all four quadrants of the abdomen anteriorly.
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