A nurse is assessing a client's cranial nerve VII. Which of the following responses should the nurse expect?
The client's pupils constrict in response to light.
The client's tongue is in a midline position:
The client has a symmetrical smile.
The client turns their head against resistance.
The Correct Answer is C
A. This response is associated with cranial nerve II, the optic nerve.
B. Tongue position is associated with cranial nerve XII, the hypoglossal nerve.
C. A symmetrical smile is indicative of cranial nerve VII, the facial nerve.
D. This action is associated with cranial nerve XI, the accessory nerve.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Using the room number to identify a patient is not reliable since many clients may share it.
B. The telephone number is not typically used for client identification during assessments.
C. The nurse should use the client's name to properly identify the client before performing any assessment or intervention. This is a standard safety measure that helps to prevent errors and ensure quality care.
D. The diagnosis is important for providing appropriate care but is not used for client identification during assessments.
Correct Answer is C
Explanation
A. A transfer belt should be removed after the transfer is completed, as it can cause skin irritation or pressure ulcers if left in place for too long.
B. Footplates should be raised during transfer to prevent tripping, then lowered once the client is seated.
C. This ensures safety, as the larger rear wheels enter first, preventing the smaller front wheels from catching on the elevator threshold.
D. Positioning the client so their weight is shifted forward can make the transfer more difficult and increase the risk of falling.
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