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 B
Explanation
A. Logrolling is primarily used to move clients without twisting the spine or causing friction on pressure areas, rather than specifically to prevent friction.
B. Logrolling is a technique used to maintain the alignment of the client's spine while turning them, reducing the risk of injury, particularly to the spinal cord.
C. Clients are typically instructed to cross their arms over their chest during logrolling to help maintain alignment and protect their arms.
D. While raising the head of the bed may be necessary for certain procedures or to assist with positioning, it is not specifically required for logrolling.
Correct Answer is ["A","B","D"]
Explanation
A. The nurse's signature confirms that the client signed the informed consent document in the nurse's presence, verifying that the client provided consent voluntarily.
B. The nurse's signature confirms that the client has legal capacity and authority to provide consent for the proposed treatment or procedure.
C. The nurse's signature does not confirm the absence of a mental health condition; rather, it confirms that the client has provided informed consent.
D. The nurse's signature confirms that the client provided consent voluntarily and was not coerced or unduly influenced to do so.
E. While it is important for the client to understand the information provided, the nurse's signature does not specifically confirm this requirement.
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