Nurse Cora must assess a client’s splinted extremity for neurovascular damage. What should she do?
a. Assess extremities, ensuring that the extremity with the splint feels cooler than the unsplinted extremities
b. Move the client’s fingers or toes to test movement
c. Compare the capillary refill of each extremity, making sure it’s the same bilaterally
d. Be aware that edema and pulse checks aren’t part of the neurovascular assessment
Answer B.
To perform an otoscopic examination on an adult, the nurse grasps the helix of the ear and pulls it up and back to straighten the ear canal. For a child, the nurse grasps the helix and pulls it down to straighten the ear canal. Pulling the lobule in any direction wouldn’t straighten the ear canal for visualization.
a. Assess extremities, ensuring that the extremity with the splint feels cooler than the unsplinted extremities
b. Move the client’s fingers or toes to test movement
c. Compare the capillary refill of each extremity, making sure it’s the same bilaterally
d. Be aware that edema and pulse checks aren’t part of the neurovascular assessment
Answer B.
To perform an otoscopic examination on an adult, the nurse grasps the helix of the ear and pulls it up and back to straighten the ear canal. For a child, the nurse grasps the helix and pulls it down to straighten the ear canal. Pulling the lobule in any direction wouldn’t straighten the ear canal for visualization.