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When assessing for pupillary responsiveness, the nurse observes the following:   This would be best described as:    

The extraocular movements are tested using the six cardinal fields of gaze. To test the six cardinal fields of gaze by having the patient focus on your finger and follow the motion of your finger using only their eyes; no head movement should be involved. The inability to draw or sustain gaze in any direction correlates to dysfunction with either of these cranial nerves. (Select all that apply)

Patient information continued…One week following admission, the nurse reports to Mr. Smith’s room to perform her morning assessment. She asks Mr. Smith to smile, lift his eyebrows. and puff out his cheeks.   What is the nurse assessing?

Please match the letter with the correct cardiac auscultatory locations:  

In Texas the State Agency that oversees Real Estate is the Texas Real Estate Commission (TREC)?

When evaluating the geriatric patient, the nurse is incorrect in stating: 

Patient information continued…Mr. Hanks has been on a cognition-enhancing medication and been takin part in local community center fall prevention exercise classes and denies any new falls. Mr. Hanks’s son reports following a home safety plan that the geriatric provider advised.   Which statements made by the son alert the nurse that he understood the teaching. (Select all that apply)

Patient information continued… Mr. Hanks completed all his laboratory tests and had no indication of having an infection, vitamin deficiency, or medication that has caused his recent memory concerns. Mr. Hanks and his son reported that Mr. Hands fell and hit his head recently and was seen in a local emergency department. When the nurse reviews recent imaging, it appears his head CT was normal and no CVA was reported. Mr. Hanks is due to establish care with a geriatric specialist for his suspected dementia, and his son has concerns about him falling at home.    What are the risk factors for a patient falling in the home? (Select all that apply)

Patient information continued…Mr. Hanks has been managing his care at home with the assistance of his son. One morning, Mr. Hanks slipped and fell on an icy sidewalk while attempting to retrieve the morning paper. An open reduction and internal fixation (ORIF) was performed and the patient was admitted to a short-term rehabilitation to regain strength before returning home. After four weeks, it has been determined that Mr. Hanks may return home with visiting nursing services and home physical therapy visits. He will follow up with his primary care provider and orthopedist on a regular basis.    A critical function of the nurse is medication reconciliation. The process of medication reconciliation is best described as: 

The nurses current priority is to determine whether the chief complaint is related to uterine issues.  What are the focused questions that the nurse needs to ask the patient: